{"hospital_name":"Mark Twain Medical Center","last_updated_on":"2026-02-28","version":"3.0.0","location_name": ["Mark Twain Medical Center"],"hospital_address": ["768 Mountain Ranch Rd, San Andreas, CA 95249"],"license_information":{"license_number":"30000058","state":"CA"},"type_2_npi": ["1508968819"],"attestation": {"attestation":"To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula.","confirm_attestation": true,"attester_name":"Doug Archer , Hospital President"},"standard_charge_information":[{"description":"LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT","code_information":[{"code":"0011","type":"APR-DRG"}],"standard_charges":[{"minimum":139578,"maximum":139578,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":139578,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":139578,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":139578,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":139578,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":139578,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT","code_information":[{"code":"0012","type":"APR-DRG"}],"standard_charges":[{"minimum":156599,"maximum":156599,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":156599,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":156599,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":156599,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":156599,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":156599,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT","code_information":[{"code":"0013","type":"APR-DRG"}],"standard_charges":[{"minimum":187696,"maximum":187696,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":187696,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":187696,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":187696,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":187696,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":187696,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT","code_information":[{"code":"0014","type":"APR-DRG"}],"standard_charges":[{"minimum":329876,"maximum":329876,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":329876,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":329876,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":329876,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":329876,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":329876,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"HEART AND/OR LUNG TRANSPLANT","code_information":[{"code":"0021","type":"APR-DRG"}],"standard_charges":[{"minimum":196824,"maximum":196824,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":196824,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":196824,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":196824,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":196824,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":196824,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"HEART AND/OR LUNG TRANSPLANT","code_information":[{"code":"0022","type":"APR-DRG"}],"standard_charges":[{"minimum":239416,"maximum":239416,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":239416,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":239416,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":239416,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":239416,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":239416,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"HEART AND/OR LUNG TRANSPLANT","code_information":[{"code":"0023","type":"APR-DRG"}],"standard_charges":[{"minimum":332647,"maximum":332647,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":332647,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":332647,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":332647,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":332647,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":332647,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"HEART AND/OR LUNG TRANSPLANT","code_information":[{"code":"0024","type":"APR-DRG"}],"standard_charges":[{"minimum":525586,"maximum":525586,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":525586,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":525586,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":525586,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":525586,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":525586,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE","code_information":[{"code":"0041","type":"APR-DRG"}],"standard_charges":[{"minimum":107051,"maximum":107051,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":107051,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":107051,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":107051,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":107051,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":107051,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE","code_information":[{"code":"0042","type":"APR-DRG"}],"standard_charges":[{"minimum":147902,"maximum":147902,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":147902,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":147902,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":147902,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":147902,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":147902,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CT CEREBRL PERFUSION WCON","code_information":[{"code":"0042T","type":"CPT"},{"code":"0350","type":"RC"}],"standard_charges":[{"minimum":1545.42,"maximum":2797.9,"gross_charge":2855,"discounted_cash":1901.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2332.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":2332.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":2332.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1981.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1545.42,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1827.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1827.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1827.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2555.23,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":2555.23,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2141.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":2132.69,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":2426.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2797.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1905.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":2238.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1660.47,"methodology":"fee schedule"}]}]},{"description":"CT CEREBRL PERFUSION WCON","code_information":[{"code":"0042T","type":"CPT"},{"code":"0350","type":"RC"}],"standard_charges":[{"minimum":611.57,"maximum":2316.72,"gross_charge":2364,"discounted_cash":1574.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1931.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1931.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1931.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1860.24,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1451.03,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1709.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1709.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1709.18,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2115.78,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":2115.78,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1773,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1900.66,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":2009.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2316.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1839.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":2170.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1605.16,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":611.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":611.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":611.57,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":611.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":611.57,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":611.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":611.57,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":611.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":611.57,"methodology":"fee schedule"}]}]},{"description":"TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE","code_information":[{"code":"0043","type":"APR-DRG"}],"standard_charges":[{"minimum":227173,"maximum":227173,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":227173,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":227173,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":227173,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":227173,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":227173,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE","code_information":[{"code":"0044","type":"APR-DRG"}],"standard_charges":[{"minimum":343714,"maximum":343714,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":343714,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":343714,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":343714,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":343714,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":343714,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE","code_information":[{"code":"0051","type":"APR-DRG"}],"standard_charges":[{"minimum":93565,"maximum":93565,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":93565,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":93565,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":93565,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":93565,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":93565,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE","code_information":[{"code":"0052","type":"APR-DRG"}],"standard_charges":[{"minimum":110857,"maximum":110857,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":110857,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":110857,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":110857,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":110857,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":110857,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE","code_information":[{"code":"0053","type":"APR-DRG"}],"standard_charges":[{"minimum":167116,"maximum":167116,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":167116,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":167116,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":167116,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":167116,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":167116,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE","code_information":[{"code":"0054","type":"APR-DRG"}],"standard_charges":[{"minimum":235998,"maximum":235998,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":235998,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":235998,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":235998,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":235998,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":235998,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PANCREAS TRANSPLANT","code_information":[{"code":"0061","type":"APR-DRG"}],"standard_charges":[{"minimum":141986,"maximum":141986,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":141986,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":141986,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":141986,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":141986,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":141986,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PANCREAS TRANSPLANT","code_information":[{"code":"0062","type":"APR-DRG"}],"standard_charges":[{"minimum":170924,"maximum":170924,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":170924,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":170924,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":170924,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":170924,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":170924,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PANCREAS TRANSPLANT","code_information":[{"code":"0063","type":"APR-DRG"}],"standard_charges":[{"minimum":208082,"maximum":208082,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":208082,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":208082,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":208082,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":208082,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":208082,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PANCREAS TRANSPLANT","code_information":[{"code":"0064","type":"APR-DRG"}],"standard_charges":[{"minimum":262832,"maximum":262832,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":262832,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":262832,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":262832,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":262832,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":262832,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ALLOGENEIC BONE MARROW TRANSPLANT","code_information":[{"code":"0071","type":"APR-DRG"}],"standard_charges":[{"minimum":121172,"maximum":121172,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":121172,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":121172,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":121172,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":121172,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":121172,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ALLOGENEIC BONE MARROW TRANSPLANT","code_information":[{"code":"0072","type":"APR-DRG"}],"standard_charges":[{"minimum":153640,"maximum":153640,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":153640,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":153640,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":153640,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":153640,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":153640,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ALLOGENEIC BONE MARROW TRANSPLANT","code_information":[{"code":"0073","type":"APR-DRG"}],"standard_charges":[{"minimum":195049,"maximum":195049,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":195049,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":195049,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":195049,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":195049,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":195049,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ALLOGENEIC BONE MARROW TRANSPLANT","code_information":[{"code":"0074","type":"APR-DRG"}],"standard_charges":[{"minimum":340265,"maximum":340265,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":340265,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":340265,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":340265,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":340265,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":340265,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY","code_information":[{"code":"0081","type":"APR-DRG"}],"standard_charges":[{"minimum":51381,"maximum":51381,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":51381,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":51381,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":51381,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":51381,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":51381,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY","code_information":[{"code":"0082","type":"APR-DRG"}],"standard_charges":[{"minimum":82681,"maximum":82681,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":82681,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":82681,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":82681,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":82681,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":82681,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY","code_information":[{"code":"0083","type":"APR-DRG"}],"standard_charges":[{"minimum":98981,"maximum":98981,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":98981,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":98981,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":98981,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":98981,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":98981,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY","code_information":[{"code":"0084","type":"APR-DRG"}],"standard_charges":[{"minimum":165166,"maximum":165166,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":165166,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":165166,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":165166,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":165166,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":165166,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","code_information":[{"code":"0091","type":"APR-DRG"}],"standard_charges":[{"minimum":87957,"maximum":87957,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":87957,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":87957,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":87957,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":87957,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":87957,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","code_information":[{"code":"0092","type":"APR-DRG"}],"standard_charges":[{"minimum":92589,"maximum":92589,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":92589,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":92589,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":92589,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":92589,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":92589,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","code_information":[{"code":"0093","type":"APR-DRG"}],"standard_charges":[{"minimum":158582,"maximum":158582,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":158582,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":158582,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":158582,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":158582,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":158582,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","code_information":[{"code":"0094","type":"APR-DRG"}],"standard_charges":[{"minimum":350191,"maximum":350191,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":350191,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":350191,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":350191,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":350191,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":350191,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OPEN CRANIOTOMY FOR TRAUMA","code_information":[{"code":"0201","type":"APR-DRG"}],"standard_charges":[{"minimum":46061,"maximum":46061,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":46061,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":46061,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":46061,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":46061,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":46061,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"SACRL AUGMENT INJ IMAG BI","code_information":[{"code":"0201T","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":2135.97,"maximum":3867.08,"gross_charge":3946,"discounted_cash":2628.04,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3223.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":3223.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":3223.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2738.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":2135.97,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":2525.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":2525.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":2525.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3531.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":3531.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2959.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":2947.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":3354.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":3867.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":2633.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":3094.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":2295,"methodology":"fee schedule"}]}]},{"description":"SACRL AUGMENT INJ IMAG BI","code_information":[{"code":"0201T","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1021.09,"maximum":3868.06,"gross_charge":3947,"discounted_cash":2628.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3224.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":3224.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":3224.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3105.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":2422.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":2853.69,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":2853.69,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":2853.69,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3532.57,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":3532.57,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2960.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":3173.39,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":3354.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":3868.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":3070.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":3623.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":2680.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":1021.09,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":1021.09,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":1021.09,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":1021.09,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":1021.09,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":1021.09,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":1021.09,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":1021.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":1021.09,"methodology":"fee schedule"}]}]},{"description":"OPEN CRANIOTOMY FOR TRAUMA","code_information":[{"code":"0202","type":"APR-DRG"}],"standard_charges":[{"minimum":53945,"maximum":53945,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":53945,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":53945,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":53945,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":53945,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":53945,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OPEN CRANIOTOMY FOR TRAUMA","code_information":[{"code":"0203","type":"APR-DRG"}],"standard_charges":[{"minimum":75544,"maximum":75544,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":75544,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":75544,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":75544,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":75544,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":75544,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OPEN CRANIOTOMY FOR TRAUMA","code_information":[{"code":"0204","type":"APR-DRG"}],"standard_charges":[{"minimum":120285,"maximum":120285,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":120285,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":120285,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":120285,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":120285,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":120285,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OPEN CRANIOTOMY EXCEPT TRAUMA","code_information":[{"code":"0211","type":"APR-DRG"}],"standard_charges":[{"minimum":43273,"maximum":43273,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":43273,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":43273,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":43273,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":43273,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":43273,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OPEN CRANIOTOMY EXCEPT TRAUMA","code_information":[{"code":"0212","type":"APR-DRG"}],"standard_charges":[{"minimum":55046,"maximum":55046,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":55046,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":55046,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":55046,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":55046,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":55046,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OPEN CRANIOTOMY EXCEPT TRAUMA","code_information":[{"code":"0213","type":"APR-DRG"}],"standard_charges":[{"minimum":81598,"maximum":81598,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":81598,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":81598,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":81598,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":81598,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":81598,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OPEN CRANIOTOMY EXCEPT TRAUMA","code_information":[{"code":"0214","type":"APR-DRG"}],"standard_charges":[{"minimum":128057,"maximum":128057,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":128057,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":128057,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":128057,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":128057,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":128057,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"VENTRICULAR SHUNT PROCEDURES","code_information":[{"code":"0221","type":"APR-DRG"}],"standard_charges":[{"minimum":29932,"maximum":29932,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":29932,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":29932,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":29932,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":29932,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":29932,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"VENTRICULAR SHUNT PROCEDURES","code_information":[{"code":"0222","type":"APR-DRG"}],"standard_charges":[{"minimum":34543,"maximum":34543,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":34543,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":34543,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":34543,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":34543,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":34543,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"VENTRICULAR SHUNT PROCEDURES","code_information":[{"code":"0223","type":"APR-DRG"}],"standard_charges":[{"minimum":48034,"maximum":48034,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":48034,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":48034,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":48034,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":48034,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":48034,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"VENTRICULAR SHUNT PROCEDURES","code_information":[{"code":"0224","type":"APR-DRG"}],"standard_charges":[{"minimum":90116,"maximum":90116,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":90116,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":90116,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":90116,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":90116,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":90116,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"SPINAL PROCEDURES","code_information":[{"code":"0231","type":"APR-DRG"}],"standard_charges":[{"minimum":35284,"maximum":35284,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":35284,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":35284,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":35284,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":35284,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":35284,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"SPINAL PROCEDURES","code_information":[{"code":"0232","type":"APR-DRG"}],"standard_charges":[{"minimum":47909,"maximum":47909,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":47909,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":47909,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":47909,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":47909,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":47909,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RHC INJ PLATLT PLAS W IMG","code_information":[{"code":"0232T","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":540.22,"maximum":978.04,"gross_charge":998,"discounted_cash":664.67,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":815.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":815.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":815.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":692.62,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":540.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":638.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":638.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":638.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":893.21,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":893.21,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":748.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":745.51,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":848.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":978.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":666.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":782.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":580.44,"methodology":"fee schedule"}]}]},{"description":"RHC INJ PLATLT PLAS W IMG","code_information":[{"code":"0232T","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":258.19,"maximum":978.04,"gross_charge":998,"discounted_cash":664.67,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":815.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":815.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":815.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":785.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":612.58,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":721.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":721.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":721.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":893.21,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":893.21,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":748.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":802.4,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":848.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":978.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":776.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":916.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":677.65,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":258.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":258.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":258.19,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":258.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":258.19,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":258.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":258.19,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":258.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":258.19,"methodology":"fee schedule"}]}]},{"description":"SPINAL PROCEDURES","code_information":[{"code":"0233","type":"APR-DRG"}],"standard_charges":[{"minimum":80619,"maximum":80619,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":80619,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":80619,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":80619,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":80619,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":80619,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"SPINAL PROCEDURES","code_information":[{"code":"0234","type":"APR-DRG"}],"standard_charges":[{"minimum":127363,"maximum":127363,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":127363,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":127363,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":127363,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":127363,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":127363,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OPEN EXTRACRANIAL VASCULAR PROCEDURES","code_information":[{"code":"0241","type":"APR-DRG"}],"standard_charges":[{"minimum":23282,"maximum":23282,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":23282,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":23282,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":23282,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":23282,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":23282,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OPEN EXTRACRANIAL VASCULAR PROCEDURES","code_information":[{"code":"0242","type":"APR-DRG"}],"standard_charges":[{"minimum":28925,"maximum":28925,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":28925,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":28925,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":28925,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":28925,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":28925,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OPEN EXTRACRANIAL VASCULAR PROCEDURES","code_information":[{"code":"0243","type":"APR-DRG"}],"standard_charges":[{"minimum":50366,"maximum":50366,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":50366,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":50366,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":50366,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":50366,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":50366,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OPEN EXTRACRANIAL VASCULAR PROCEDURES","code_information":[{"code":"0244","type":"APR-DRG"}],"standard_charges":[{"minimum":89094,"maximum":89094,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":89094,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":89094,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":89094,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":89094,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":89094,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER NERVOUS SYSTEM AND RELATED PROCEDURES","code_information":[{"code":"0261","type":"APR-DRG"}],"standard_charges":[{"minimum":27798,"maximum":27798,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":27798,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":27798,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":27798,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":27798,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":27798,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER NERVOUS SYSTEM AND RELATED PROCEDURES","code_information":[{"code":"0262","type":"APR-DRG"}],"standard_charges":[{"minimum":34474,"maximum":34474,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":34474,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":34474,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":34474,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":34474,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":34474,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER NERVOUS SYSTEM AND RELATED PROCEDURES","code_information":[{"code":"0263","type":"APR-DRG"}],"standard_charges":[{"minimum":53032,"maximum":53032,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":53032,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":53032,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":53032,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":53032,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":53032,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER NERVOUS SYSTEM AND RELATED PROCEDURES","code_information":[{"code":"0264","type":"APR-DRG"}],"standard_charges":[{"minimum":92897,"maximum":92897,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":92897,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":92897,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":92897,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":92897,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":92897,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER OPEN CRANIOTOMY","code_information":[{"code":"0271","type":"APR-DRG"}],"standard_charges":[{"minimum":37849,"maximum":37849,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":37849,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":37849,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":37849,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":37849,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":37849,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER OPEN CRANIOTOMY","code_information":[{"code":"0272","type":"APR-DRG"}],"standard_charges":[{"minimum":42159,"maximum":42159,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":42159,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":42159,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":42159,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":42159,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":42159,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER OPEN CRANIOTOMY","code_information":[{"code":"0273","type":"APR-DRG"}],"standard_charges":[{"minimum":66027,"maximum":66027,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":66027,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":66027,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":66027,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":66027,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":66027,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER OPEN CRANIOTOMY","code_information":[{"code":"0274","type":"APR-DRG"}],"standard_charges":[{"minimum":113531,"maximum":113531,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":113531,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":113531,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":113531,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":113531,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":113531,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES","code_information":[{"code":"0291","type":"APR-DRG"}],"standard_charges":[{"minimum":44323,"maximum":44323,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":44323,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":44323,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":44323,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":44323,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":44323,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES","code_information":[{"code":"0292","type":"APR-DRG"}],"standard_charges":[{"minimum":50152,"maximum":50152,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":50152,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":50152,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":50152,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":50152,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":50152,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES","code_information":[{"code":"0293","type":"APR-DRG"}],"standard_charges":[{"minimum":55981,"maximum":55981,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":55981,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":55981,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":55981,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":55981,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":55981,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES","code_information":[{"code":"0294","type":"APR-DRG"}],"standard_charges":[{"minimum":88419,"maximum":88419,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":88419,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":88419,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":88419,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":88419,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":88419,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES","code_information":[{"code":"0301","type":"APR-DRG"}],"standard_charges":[{"minimum":40831,"maximum":40831,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":40831,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":40831,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":40831,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":40831,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":40831,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES","code_information":[{"code":"0302","type":"APR-DRG"}],"standard_charges":[{"minimum":54039,"maximum":54039,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":54039,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":54039,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":54039,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":54039,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":54039,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES","code_information":[{"code":"0303","type":"APR-DRG"}],"standard_charges":[{"minimum":73798,"maximum":73798,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":73798,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":73798,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":73798,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":73798,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":73798,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES","code_information":[{"code":"0304","type":"APR-DRG"}],"standard_charges":[{"minimum":98135,"maximum":98135,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":98135,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":98135,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":98135,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":98135,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":98135,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"SPINAL DISORDERS AND INJURIES","code_information":[{"code":"0401","type":"APR-DRG"}],"standard_charges":[{"minimum":19364,"maximum":19364,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":19364,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":19364,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":19364,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":19364,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":19364,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"SPINAL DISORDERS AND INJURIES","code_information":[{"code":"0402","type":"APR-DRG"}],"standard_charges":[{"minimum":27342,"maximum":27342,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":27342,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":27342,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":27342,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":27342,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":27342,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"SPINAL DISORDERS AND INJURIES","code_information":[{"code":"0403","type":"APR-DRG"}],"standard_charges":[{"minimum":38374,"maximum":38374,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":38374,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":38374,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":38374,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":38374,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":38374,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"SPINAL DISORDERS AND INJURIES","code_information":[{"code":"0404","type":"APR-DRG"}],"standard_charges":[{"minimum":56960,"maximum":56960,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":56960,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":56960,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":56960,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":56960,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":56960,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"NERVOUS SYSTEM MALIGNANCY","code_information":[{"code":"0411","type":"APR-DRG"}],"standard_charges":[{"minimum":16876,"maximum":16876,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":16876,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":16876,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":16876,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":16876,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":16876,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"NERVOUS SYSTEM MALIGNANCY","code_information":[{"code":"0412","type":"APR-DRG"}],"standard_charges":[{"minimum":17570,"maximum":17570,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":17570,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":17570,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":17570,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":17570,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":17570,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"NERVOUS SYSTEM MALIGNANCY","code_information":[{"code":"0413","type":"APR-DRG"}],"standard_charges":[{"minimum":23243,"maximum":23243,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":23243,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":23243,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":23243,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":23243,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":23243,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"NERVOUS SYSTEM MALIGNANCY","code_information":[{"code":"0414","type":"APR-DRG"}],"standard_charges":[{"minimum":33951,"maximum":33951,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":33951,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":33951,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":33951,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":33951,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":33951,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS","code_information":[{"code":"0421","type":"APR-DRG"}],"standard_charges":[{"minimum":14603,"maximum":14603,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":14603,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":14603,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":14603,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":14603,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":14603,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS","code_information":[{"code":"0422","type":"APR-DRG"}],"standard_charges":[{"minimum":18599,"maximum":18599,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":18599,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":18599,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":18599,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":18599,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":18599,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS","code_information":[{"code":"0423","type":"APR-DRG"}],"standard_charges":[{"minimum":25311,"maximum":25311,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":25311,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":25311,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":25311,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":25311,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":25311,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS","code_information":[{"code":"0424","type":"APR-DRG"}],"standard_charges":[{"minimum":45888,"maximum":45888,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":45888,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":45888,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":45888,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":45888,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":45888,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MULTIPLE SCLEROSIS OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES","code_information":[{"code":"0431","type":"APR-DRG"}],"standard_charges":[{"minimum":18189,"maximum":18189,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":18189,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":18189,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":18189,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":18189,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":18189,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MULTIPLE SCLEROSIS OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES","code_information":[{"code":"0432","type":"APR-DRG"}],"standard_charges":[{"minimum":24360,"maximum":24360,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":24360,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":24360,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":24360,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":24360,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":24360,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MULTIPLE SCLEROSIS OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES","code_information":[{"code":"0433","type":"APR-DRG"}],"standard_charges":[{"minimum":36059,"maximum":36059,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":36059,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":36059,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":36059,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":36059,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":36059,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MULTIPLE SCLEROSIS OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES","code_information":[{"code":"0434","type":"APR-DRG"}],"standard_charges":[{"minimum":70227,"maximum":70227,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":70227,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":70227,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":70227,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":70227,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":70227,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PF IMP NON BIOL FASC REIN","code_information":[{"code":"0437T","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":671.22,"maximum":1215.2,"gross_charge":1240,"discounted_cash":825.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1013.08,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1013.08,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1013.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":860.56,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":671.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":793.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":793.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":793.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1109.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1109.8,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":930,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":926.28,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1054,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1215.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":827.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":972.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":721.19,"methodology":"fee schedule"}]}]},{"description":"PF IMP NON BIOL FASC REIN","code_information":[{"code":"0437T","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":320.79,"maximum":1215.2,"gross_charge":1240,"discounted_cash":825.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1013.08,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1013.08,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1013.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":975.76,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":761.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":896.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":896.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":896.52,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1109.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1109.8,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":930,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":996.96,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1054,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1215.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":964.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1138.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":841.96,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":320.79,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":320.79,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":320.79,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":320.79,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":320.79,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":320.79,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":320.79,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":320.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":320.79,"methodology":"fee schedule"}]}]},{"description":"INTRACRANIAL HEMORRHAGE","code_information":[{"code":"0441","type":"APR-DRG"}],"standard_charges":[{"minimum":16397,"maximum":16397,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":16397,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":16397,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":16397,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":16397,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":16397,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"INTRACRANIAL HEMORRHAGE","code_information":[{"code":"0442","type":"APR-DRG"}],"standard_charges":[{"minimum":22810,"maximum":22810,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":22810,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":22810,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":22810,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":22810,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":22810,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"INTRACRANIAL HEMORRHAGE","code_information":[{"code":"0443","type":"APR-DRG"}],"standard_charges":[{"minimum":29758,"maximum":29758,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":29758,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":29758,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":29758,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":29758,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":29758,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"INTRACRANIAL HEMORRHAGE","code_information":[{"code":"0444","type":"APR-DRG"}],"standard_charges":[{"minimum":34120,"maximum":34120,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":34120,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":34120,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":34120,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":34120,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":34120,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION","code_information":[{"code":"0451","type":"APR-DRG"}],"standard_charges":[{"minimum":17197,"maximum":17197,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":17197,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":17197,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":17197,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":17197,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":17197,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION","code_information":[{"code":"0452","type":"APR-DRG"}],"standard_charges":[{"minimum":21350,"maximum":21350,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":21350,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":21350,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":21350,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":21350,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":21350,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION","code_information":[{"code":"0453","type":"APR-DRG"}],"standard_charges":[{"minimum":28673,"maximum":28673,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":28673,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":28673,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":28673,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":28673,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":28673,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION","code_information":[{"code":"0454","type":"APR-DRG"}],"standard_charges":[{"minimum":44027,"maximum":44027,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":44027,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":44027,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":44027,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":44027,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":44027,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION","code_information":[{"code":"0461","type":"APR-DRG"}],"standard_charges":[{"minimum":14590,"maximum":14590,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":14590,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":14590,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":14590,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":14590,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":14590,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION","code_information":[{"code":"0462","type":"APR-DRG"}],"standard_charges":[{"minimum":17475,"maximum":17475,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":17475,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":17475,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":17475,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":17475,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":17475,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION","code_information":[{"code":"0463","type":"APR-DRG"}],"standard_charges":[{"minimum":21977,"maximum":21977,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":21977,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":21977,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":21977,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":21977,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":21977,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION","code_information":[{"code":"0464","type":"APR-DRG"}],"standard_charges":[{"minimum":42906,"maximum":42906,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":42906,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":42906,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":42906,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":42906,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":42906,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"TRANSIENT ISCHEMIA","code_information":[{"code":"0471","type":"APR-DRG"}],"standard_charges":[{"minimum":14490,"maximum":14490,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":14490,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":14490,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":14490,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":14490,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":14490,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"TRANSIENT ISCHEMIA","code_information":[{"code":"0472","type":"APR-DRG"}],"standard_charges":[{"minimum":16609,"maximum":16609,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":16609,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":16609,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":16609,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":16609,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":16609,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"TRANSIENT ISCHEMIA","code_information":[{"code":"0473","type":"APR-DRG"}],"standard_charges":[{"minimum":20955,"maximum":20955,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":20955,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":20955,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":20955,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":20955,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":20955,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"TRANSIENT ISCHEMIA","code_information":[{"code":"0474","type":"APR-DRG"}],"standard_charges":[{"minimum":35539,"maximum":35539,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":35539,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":35539,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":35539,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":35539,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":35539,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERIPHERAL CRANIAL AND AUTONOMIC NERVE DISORDERS","code_information":[{"code":"0481","type":"APR-DRG"}],"standard_charges":[{"minimum":13563,"maximum":13563,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":13563,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":13563,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":13563,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":13563,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":13563,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERIPHERAL CRANIAL AND AUTONOMIC NERVE DISORDERS","code_information":[{"code":"0482","type":"APR-DRG"}],"standard_charges":[{"minimum":15609,"maximum":15609,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":15609,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":15609,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":15609,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":15609,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":15609,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERIPHERAL CRANIAL AND AUTONOMIC NERVE DISORDERS","code_information":[{"code":"0483","type":"APR-DRG"}],"standard_charges":[{"minimum":21288,"maximum":21288,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":21288,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":21288,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":21288,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":21288,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":21288,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERIPHERAL CRANIAL AND AUTONOMIC NERVE DISORDERS","code_information":[{"code":"0484","type":"APR-DRG"}],"standard_charges":[{"minimum":41002,"maximum":41002,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":41002,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":41002,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":41002,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":41002,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":41002,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM","code_information":[{"code":"0491","type":"APR-DRG"}],"standard_charges":[{"minimum":19303,"maximum":19303,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":19303,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":19303,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":19303,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":19303,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":19303,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM","code_information":[{"code":"0492","type":"APR-DRG"}],"standard_charges":[{"minimum":41119,"maximum":41119,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":41119,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":41119,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":41119,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":41119,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":41119,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM","code_information":[{"code":"0493","type":"APR-DRG"}],"standard_charges":[{"minimum":45610,"maximum":45610,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":45610,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":45610,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":45610,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":45610,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":45610,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM","code_information":[{"code":"0494","type":"APR-DRG"}],"standard_charges":[{"minimum":75004,"maximum":75004,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":75004,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":75004,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":75004,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":75004,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":75004,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS","code_information":[{"code":"0501","type":"APR-DRG"}],"standard_charges":[{"minimum":14965,"maximum":14965,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":14965,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":14965,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":14965,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":14965,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":14965,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS","code_information":[{"code":"0502","type":"APR-DRG"}],"standard_charges":[{"minimum":25290,"maximum":25290,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":25290,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":25290,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":25290,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":25290,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":25290,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS","code_information":[{"code":"0503","type":"APR-DRG"}],"standard_charges":[{"minimum":39959,"maximum":39959,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":39959,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":39959,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":39959,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":39959,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":39959,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS","code_information":[{"code":"0504","type":"APR-DRG"}],"standard_charges":[{"minimum":78883,"maximum":78883,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":78883,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":78883,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":78883,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":78883,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":78883,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"VIRAL MENINGITIS","code_information":[{"code":"0511","type":"APR-DRG"}],"standard_charges":[{"minimum":10772,"maximum":10772,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":10772,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":10772,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":10772,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":10772,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":10772,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"VIRAL MENINGITIS","code_information":[{"code":"0512","type":"APR-DRG"}],"standard_charges":[{"minimum":15997,"maximum":15997,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":15997,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":15997,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":15997,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":15997,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":15997,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"VIRAL MENINGITIS","code_information":[{"code":"0513","type":"APR-DRG"}],"standard_charges":[{"minimum":27044,"maximum":27044,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":27044,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":27044,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":27044,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":27044,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":27044,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"VIRAL MENINGITIS","code_information":[{"code":"0514","type":"APR-DRG"}],"standard_charges":[{"minimum":49446,"maximum":49446,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":49446,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":49446,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":49446,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":49446,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":49446,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ALTERATION IN CONSCIOUSNESS","code_information":[{"code":"0521","type":"APR-DRG"}],"standard_charges":[{"minimum":12640,"maximum":12640,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":12640,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":12640,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":12640,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":12640,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":12640,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ALTERATION IN CONSCIOUSNESS","code_information":[{"code":"0522","type":"APR-DRG"}],"standard_charges":[{"minimum":14916,"maximum":14916,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":14916,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":14916,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":14916,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":14916,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":14916,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ALTERATION IN CONSCIOUSNESS","code_information":[{"code":"0523","type":"APR-DRG"}],"standard_charges":[{"minimum":19973,"maximum":19973,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":19973,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":19973,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":19973,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":19973,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":19973,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ALTERATION IN CONSCIOUSNESS","code_information":[{"code":"0524","type":"APR-DRG"}],"standard_charges":[{"minimum":41139,"maximum":41139,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":41139,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":41139,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":41139,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":41139,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":41139,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"SEIZURE","code_information":[{"code":"0531","type":"APR-DRG"}],"standard_charges":[{"minimum":10537,"maximum":10537,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":10537,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":10537,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":10537,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":10537,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":10537,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"SEIZURE","code_information":[{"code":"0532","type":"APR-DRG"}],"standard_charges":[{"minimum":13700,"maximum":13700,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":13700,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":13700,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":13700,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":13700,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":13700,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"SEIZURE","code_information":[{"code":"0533","type":"APR-DRG"}],"standard_charges":[{"minimum":18711,"maximum":18711,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":18711,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":18711,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":18711,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":18711,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":18711,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"SEIZURE","code_information":[{"code":"0534","type":"APR-DRG"}],"standard_charges":[{"minimum":42128,"maximum":42128,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":42128,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":42128,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":42128,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":42128,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":42128,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MIGRAINE AND OTHER HEADACHES","code_information":[{"code":"0541","type":"APR-DRG"}],"standard_charges":[{"minimum":12428,"maximum":12428,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":12428,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":12428,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":12428,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":12428,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":12428,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MIGRAINE AND OTHER HEADACHES","code_information":[{"code":"0542","type":"APR-DRG"}],"standard_charges":[{"minimum":14855,"maximum":14855,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":14855,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":14855,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":14855,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":14855,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":14855,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MIGRAINE AND OTHER HEADACHES","code_information":[{"code":"0543","type":"APR-DRG"}],"standard_charges":[{"minimum":18729,"maximum":18729,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":18729,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":18729,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":18729,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":18729,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":18729,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MIGRAINE AND OTHER HEADACHES","code_information":[{"code":"0544","type":"APR-DRG"}],"standard_charges":[{"minimum":30666,"maximum":30666,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":30666,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":30666,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":30666,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":30666,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":30666,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE","code_information":[{"code":"0551","type":"APR-DRG"}],"standard_charges":[{"minimum":13741,"maximum":13741,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":13741,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":13741,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":13741,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":13741,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":13741,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE","code_information":[{"code":"0552","type":"APR-DRG"}],"standard_charges":[{"minimum":19655,"maximum":19655,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":19655,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":19655,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":19655,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":19655,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":19655,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE","code_information":[{"code":"0553","type":"APR-DRG"}],"standard_charges":[{"minimum":29669,"maximum":29669,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":29669,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":29669,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":29669,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":29669,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":29669,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE","code_information":[{"code":"0554","type":"APR-DRG"}],"standard_charges":[{"minimum":53326,"maximum":53326,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":53326,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":53326,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":53326,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":53326,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":53326,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE COMA < 1 HOUR OR NO COMA","code_information":[{"code":"0561","type":"APR-DRG"}],"standard_charges":[{"minimum":13198,"maximum":13198,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":13198,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":13198,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":13198,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":13198,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":13198,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE COMA < 1 HOUR OR NO COMA","code_information":[{"code":"0562","type":"APR-DRG"}],"standard_charges":[{"minimum":17631,"maximum":17631,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":17631,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":17631,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":17631,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":17631,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":17631,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE COMA < 1 HOUR OR NO COMA","code_information":[{"code":"0563","type":"APR-DRG"}],"standard_charges":[{"minimum":26692,"maximum":26692,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":26692,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":26692,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":26692,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":26692,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":26692,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE COMA < 1 HOUR OR NO COMA","code_information":[{"code":"0564","type":"APR-DRG"}],"standard_charges":[{"minimum":42658,"maximum":42658,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":42658,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":42658,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":42658,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":42658,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":42658,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CONCUSSION CLOSED SKULL FRACTURE NOS AND UNCOMPLICATED INTRACRANIAL INJURY COMA < 1 HOUR OR NO COMA","code_information":[{"code":"0571","type":"APR-DRG"}],"standard_charges":[{"minimum":11942,"maximum":11942,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":11942,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":11942,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":11942,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":11942,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":11942,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CONCUSSION CLOSED SKULL FRACTURE NOS AND UNCOMPLICATED INTRACRANIAL INJURY COMA < 1 HOUR OR NO COMA","code_information":[{"code":"0572","type":"APR-DRG"}],"standard_charges":[{"minimum":18041,"maximum":18041,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":18041,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":18041,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":18041,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":18041,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":18041,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CONCUSSION CLOSED SKULL FRACTURE NOS AND UNCOMPLICATED INTRACRANIAL INJURY COMA < 1 HOUR OR NO COMA","code_information":[{"code":"0573","type":"APR-DRG"}],"standard_charges":[{"minimum":26371,"maximum":26371,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":26371,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":26371,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":26371,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":26371,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":26371,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CONCUSSION CLOSED SKULL FRACTURE NOS AND UNCOMPLICATED INTRACRANIAL INJURY COMA < 1 HOUR OR NO COMA","code_information":[{"code":"0574","type":"APR-DRG"}],"standard_charges":[{"minimum":41422,"maximum":41422,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":41422,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":41422,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":41422,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":41422,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":41422,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER DISORDERS OF NERVOUS SYSTEM","code_information":[{"code":"0581","type":"APR-DRG"}],"standard_charges":[{"minimum":17213,"maximum":17213,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":17213,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":17213,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":17213,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":17213,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":17213,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER DISORDERS OF NERVOUS SYSTEM","code_information":[{"code":"0582","type":"APR-DRG"}],"standard_charges":[{"minimum":23198,"maximum":23198,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":23198,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":23198,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":23198,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":23198,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":23198,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER DISORDERS OF NERVOUS SYSTEM","code_information":[{"code":"0583","type":"APR-DRG"}],"standard_charges":[{"minimum":29975,"maximum":29975,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":29975,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":29975,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":29975,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":29975,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":29975,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER DISORDERS OF NERVOUS SYSTEM","code_information":[{"code":"0584","type":"APR-DRG"}],"standard_charges":[{"minimum":41718,"maximum":41718,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":41718,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":41718,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":41718,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":41718,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":41718,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ANOXIC AND OTHER SEVERE BRAIN DAMAGE","code_information":[{"code":"0591","type":"APR-DRG"}],"standard_charges":[{"minimum":11773,"maximum":11773,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":11773,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":11773,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":11773,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":11773,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":11773,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ANOXIC AND OTHER SEVERE BRAIN DAMAGE","code_information":[{"code":"0592","type":"APR-DRG"}],"standard_charges":[{"minimum":18793,"maximum":18793,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":18793,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":18793,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":18793,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":18793,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":18793,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ANOXIC AND OTHER SEVERE BRAIN DAMAGE","code_information":[{"code":"0593","type":"APR-DRG"}],"standard_charges":[{"minimum":26927,"maximum":26927,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":26927,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":26927,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":26927,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":26927,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":26927,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ANOXIC AND OTHER SEVERE BRAIN DAMAGE","code_information":[{"code":"0594","type":"APR-DRG"}],"standard_charges":[{"minimum":38646,"maximum":38646,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":38646,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":38646,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":38646,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":38646,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":38646,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ORBIT AND EYE PROCEDURES","code_information":[{"code":"0731","type":"APR-DRG"}],"standard_charges":[{"minimum":20394,"maximum":20394,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":20394,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":20394,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":20394,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":20394,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":20394,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ORBIT AND EYE PROCEDURES","code_information":[{"code":"0732","type":"APR-DRG"}],"standard_charges":[{"minimum":25079,"maximum":25079,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":25079,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":25079,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":25079,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":25079,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":25079,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ORBIT AND EYE PROCEDURES","code_information":[{"code":"0733","type":"APR-DRG"}],"standard_charges":[{"minimum":39490,"maximum":39490,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":39490,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":39490,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":39490,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":39490,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":39490,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ORBIT AND EYE PROCEDURES","code_information":[{"code":"0734","type":"APR-DRG"}],"standard_charges":[{"minimum":71996,"maximum":71996,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":71996,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":71996,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":71996,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":71996,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":71996,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EYE INFECTIONS AND OTHER EYE DISORDERS","code_information":[{"code":"0821","type":"APR-DRG"}],"standard_charges":[{"minimum":12069,"maximum":12069,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":12069,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":12069,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":12069,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":12069,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":12069,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EYE INFECTIONS AND OTHER EYE DISORDERS","code_information":[{"code":"0822","type":"APR-DRG"}],"standard_charges":[{"minimum":14766,"maximum":14766,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":14766,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":14766,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":14766,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":14766,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":14766,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EYE INFECTIONS AND OTHER EYE DISORDERS","code_information":[{"code":"0823","type":"APR-DRG"}],"standard_charges":[{"minimum":21515,"maximum":21515,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":21515,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":21515,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":21515,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":21515,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":21515,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EYE INFECTIONS AND OTHER EYE DISORDERS","code_information":[{"code":"0824","type":"APR-DRG"}],"standard_charges":[{"minimum":39516,"maximum":39516,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":39516,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":39516,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":39516,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":39516,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":39516,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR CRANIAL OR FACIAL BONE PROCEDURES","code_information":[{"code":"0891","type":"APR-DRG"}],"standard_charges":[{"minimum":33561,"maximum":33561,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":33561,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":33561,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":33561,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":33561,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":33561,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR CRANIAL OR FACIAL BONE PROCEDURES","code_information":[{"code":"0892","type":"APR-DRG"}],"standard_charges":[{"minimum":44570,"maximum":44570,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":44570,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":44570,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":44570,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":44570,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":44570,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR CRANIAL OR FACIAL BONE PROCEDURES","code_information":[{"code":"0893","type":"APR-DRG"}],"standard_charges":[{"minimum":85085,"maximum":85085,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":85085,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":85085,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":85085,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":85085,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":85085,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR CRANIAL OR FACIAL BONE PROCEDURES","code_information":[{"code":"0894","type":"APR-DRG"}],"standard_charges":[{"minimum":120754,"maximum":120754,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":120754,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":120754,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":120754,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":120754,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":120754,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER MAJOR HEAD AND NECK PROCEDURES","code_information":[{"code":"0911","type":"APR-DRG"}],"standard_charges":[{"minimum":33533,"maximum":33533,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":33533,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":33533,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":33533,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":33533,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":33533,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER MAJOR HEAD AND NECK PROCEDURES","code_information":[{"code":"0912","type":"APR-DRG"}],"standard_charges":[{"minimum":49235,"maximum":49235,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":49235,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":49235,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":49235,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":49235,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":49235,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER MAJOR HEAD AND NECK PROCEDURES","code_information":[{"code":"0913","type":"APR-DRG"}],"standard_charges":[{"minimum":88773,"maximum":88773,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":88773,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":88773,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":88773,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":88773,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":88773,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER MAJOR HEAD AND NECK PROCEDURES","code_information":[{"code":"0914","type":"APR-DRG"}],"standard_charges":[{"minimum":142331,"maximum":142331,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":142331,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":142331,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":142331,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":142331,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":142331,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES","code_information":[{"code":"0921","type":"APR-DRG"}],"standard_charges":[{"minimum":28583,"maximum":28583,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":28583,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":28583,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":28583,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":28583,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":28583,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES","code_information":[{"code":"0922","type":"APR-DRG"}],"standard_charges":[{"minimum":36561,"maximum":36561,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":36561,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":36561,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":36561,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":36561,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":36561,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES","code_information":[{"code":"0923","type":"APR-DRG"}],"standard_charges":[{"minimum":57065,"maximum":57065,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":57065,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":57065,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":57065,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":57065,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":57065,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES","code_information":[{"code":"0924","type":"APR-DRG"}],"standard_charges":[{"minimum":102407,"maximum":102407,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":102407,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":102407,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":102407,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":102407,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":102407,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CLEFT LIP AND PALATE REPAIR","code_information":[{"code":"0951","type":"APR-DRG"}],"standard_charges":[{"minimum":18459,"maximum":18459,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":18459,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":18459,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":18459,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":18459,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":18459,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CLEFT LIP AND PALATE REPAIR","code_information":[{"code":"0952","type":"APR-DRG"}],"standard_charges":[{"minimum":20720,"maximum":20720,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":20720,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":20720,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":20720,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":20720,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":20720,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CLEFT LIP AND PALATE REPAIR","code_information":[{"code":"0953","type":"APR-DRG"}],"standard_charges":[{"minimum":29560,"maximum":29560,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":29560,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":29560,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":29560,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":29560,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":29560,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CLEFT LIP AND PALATE REPAIR","code_information":[{"code":"0954","type":"APR-DRG"}],"standard_charges":[{"minimum":49191,"maximum":49191,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":49191,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":49191,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":49191,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":49191,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":49191,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"TONSIL AND ADENOID PROCEDURES","code_information":[{"code":"0971","type":"APR-DRG"}],"standard_charges":[{"minimum":12016,"maximum":12016,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":12016,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":12016,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":12016,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":12016,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":12016,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"TONSIL AND ADENOID PROCEDURES","code_information":[{"code":"0972","type":"APR-DRG"}],"standard_charges":[{"minimum":17682,"maximum":17682,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":17682,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":17682,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":17682,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":17682,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":17682,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"TONSIL AND ADENOID PROCEDURES","code_information":[{"code":"0973","type":"APR-DRG"}],"standard_charges":[{"minimum":28122,"maximum":28122,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":28122,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":28122,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":28122,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":28122,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":28122,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"TONSIL AND ADENOID PROCEDURES","code_information":[{"code":"0974","type":"APR-DRG"}],"standard_charges":[{"minimum":53053,"maximum":53053,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":53053,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":53053,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":53053,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":53053,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":53053,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER EAR NOSE MOUTH AND THROAT PROCEDURES","code_information":[{"code":"0981","type":"APR-DRG"}],"standard_charges":[{"minimum":18638,"maximum":18638,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":18638,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":18638,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":18638,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":18638,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":18638,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER EAR NOSE MOUTH AND THROAT PROCEDURES","code_information":[{"code":"0982","type":"APR-DRG"}],"standard_charges":[{"minimum":25545,"maximum":25545,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":25545,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":25545,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":25545,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":25545,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":25545,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER EAR NOSE MOUTH AND THROAT PROCEDURES","code_information":[{"code":"0983","type":"APR-DRG"}],"standard_charges":[{"minimum":42972,"maximum":42972,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":42972,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":42972,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":42972,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":42972,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":42972,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER EAR NOSE MOUTH AND THROAT PROCEDURES","code_information":[{"code":"0984","type":"APR-DRG"}],"standard_charges":[{"minimum":82013,"maximum":82013,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":82013,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":82013,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":82013,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":82013,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":82013,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"FNA BX W/O IMG GDN EA ADDL","code_information":[{"code":"10004","type":"CPT"}],"standard_charges":[{"minimum":45.05,"maximum":45.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.05,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.05,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.05,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.05,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"FNA BX US GDE 1ST LESION","code_information":[{"code":"10005","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1315.91,"maximum":2382.38,"gross_charge":2431,"discounted_cash":1619.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1986.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1986.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1986.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1687.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1315.91,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1555.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1555.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1555.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2175.75,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":2175.75,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1823.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1815.96,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":2066.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2382.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1622.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1906.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1413.87,"methodology":"fee schedule"}]}]},{"description":"FNA BX US GDE 1ST LESION","code_information":[{"code":"10005","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":111.69,"maximum":1042.72,"gross_charge":1064,"discounted_cash":708.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":869.29,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":869.29,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":869.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":837.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":653.09,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":769.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":769.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":769.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":952.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":952.28,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":798,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":855.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":904.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1042.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":827.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":976.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":722.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.69,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.69,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.69,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.69,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.69,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":275.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":275.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":275.26,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":275.26,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":275.26,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":275.26,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":275.26,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":275.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":275.26,"methodology":"fee schedule"}]}]},{"description":"FNA BX US GDE EA ADD LES","code_information":[{"code":"10006","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":548.34,"maximum":992.74,"gross_charge":1013,"discounted_cash":674.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":827.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":827.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":827.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":703.03,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":548.34,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":648.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":648.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":648.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":906.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":906.64,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":759.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":756.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":861.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":992.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":676.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":794.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":589.17,"methodology":"fee schedule"}]}]},{"description":"FNA BX US GDE EA ADD LES","code_information":[{"code":"10006","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":51.75,"maximum":992.74,"gross_charge":1013,"discounted_cash":674.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":827.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":827.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":827.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":797.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":621.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":732.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":732.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":732.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":906.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":906.64,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":759.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":814.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":861.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":992.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":788.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":929.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":687.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.75,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.75,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.75,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":262.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":262.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":262.07,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":262.07,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":262.07,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":262.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":262.07,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":262.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":262.07,"methodology":"fee schedule"}]}]},{"description":"FNA BX W/FLUOR GDN 1ST LES","code_information":[{"code":"10007","type":"CPT"}],"standard_charges":[{"minimum":259.49,"maximum":259.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":259.49,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":259.49,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":259.49,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":259.49,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":259.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"FNA BX W/FLUOR GDN EA ADDL","code_information":[{"code":"10008","type":"CPT"}],"standard_charges":[{"minimum":145.57,"maximum":145.57,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.57,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.57,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.57,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"FNA BX W/CT GDN 1ST LES","code_information":[{"code":"10009","type":"CPT"}],"standard_charges":[{"minimum":428.52,"maximum":428.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":428.52,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":428.52,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":428.52,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":428.52,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":428.52,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"FNA BX W/CT GDN EA ADDL","code_information":[{"code":"10010","type":"CPT"}],"standard_charges":[{"minimum":256.89,"maximum":256.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":256.89,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":256.89,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":256.89,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":256.89,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":256.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"ROOM SEMI GENERAL","code_information":[{"code":"100104863","type":"CDM"},{"code":"0120","type":"RC"}],"standard_charges":[{"minimum":3627.26,"maximum":6566.98,"gross_charge":6701,"discounted_cash":4462.87,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5474.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":5474.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":5474.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4650.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":3627.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":4288.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":4288.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":4288.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5997.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":5997.4,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":5025.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":5005.65,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":5695.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":6566.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":4472.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":5254.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":3897.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ROOM ICU GENERAL","code_information":[{"code":"100104892","type":"CDM"},{"code":"0200","type":"RC"}],"standard_charges":[{"minimum":8628.87,"maximum":15622.18,"gross_charge":15941,"discounted_cash":10616.71,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13023.8,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":13023.8,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":13023.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11063.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":8628.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":10202.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":10202.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":10202.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14267.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":14267.2,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":11955.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":11907.93,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":13549.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":15622.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":10639.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":12499.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":9271.29,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ROOM INTER ICU/TELE","code_information":[{"code":"100104908","type":"CDM"},{"code":"0206","type":"RC"}],"standard_charges":[{"minimum":4834.9,"maximum":8753.36,"gross_charge":8932,"discounted_cash":5948.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7297.45,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":7297.45,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":7297.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6198.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":4834.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":5716.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":5716.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":5716.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7994.14,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":7994.14,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":6699,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":6672.21,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":7592.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":8753.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":5961.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":7003.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":5194.86,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ROOM ACUTE ADMINISTRATIVE","code_information":[{"code":"100119835","type":"CDM"},{"code":"0169","type":"RC"}],"standard_charges":[{"minimum":1899.43,"maximum":3438.82,"gross_charge":3509,"discounted_cash":2337,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2866.86,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":2866.86,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":2866.86,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2435.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1899.43,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":2245.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":2245.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":2245.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3140.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":3140.56,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2631.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":2621.23,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":2982.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":3438.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":2341.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":2751.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":2040.84,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":627,"methodology":"per diem"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":627,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":627,"methodology":"per diem"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":627,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":627,"methodology":"per diem"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"FNA BX WO IMAG 1ST LESION","code_information":[{"code":"10021","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":141.28,"maximum":255.78,"gross_charge":261,"discounted_cash":173.83,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":213.24,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":213.24,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":213.24,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":141.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":167.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":167.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":167.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":233.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":233.6,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":195.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":194.97,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":221.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":255.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":174.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":204.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":151.8,"methodology":"fee schedule"}]}]},{"description":"FNA BX WO IMAG 1ST LESION","code_information":[{"code":"10021","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":67.53,"maximum":255.78,"gross_charge":261,"discounted_cash":173.83,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":213.24,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":213.24,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":213.24,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":160.21,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":188.71,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":188.71,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":188.71,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":233.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":233.6,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":195.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":209.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":221.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":255.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":203.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":239.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":177.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":67.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":67.53,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":67.53,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":67.53,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":67.53,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":67.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":67.53,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":67.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":67.53,"methodology":"fee schedule"}]}]},{"description":"PF FNA BX WO IMAG 1ST LES","code_information":[{"code":"10021","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":101.23,"maximum":183.26,"gross_charge":187,"discounted_cash":124.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":152.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":152.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":101.23,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":119.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":119.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":119.68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.37,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":167.37,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":140.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":139.69,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":158.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":183.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":124.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":146.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":108.76,"methodology":"fee schedule"}]}]},{"description":"PF FNA BX WO IMAG 1ST LES","code_information":[{"code":"10021","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":48.38,"maximum":183.26,"gross_charge":187,"discounted_cash":124.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":152.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":152.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":114.79,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":135.21,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":135.21,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":135.21,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.37,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":167.37,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":140.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":150.35,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":158.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":183.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":145.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":171.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":126.98,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":48.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":48.38,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":48.38,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":48.38,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":48.38,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":48.38,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":48.38,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":48.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":48.38,"methodology":"fee schedule"}]}]},{"description":"RHC FNA BX WO IMG 1ST LES","code_information":[{"code":"10021","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":134.79,"maximum":244.02,"gross_charge":249,"discounted_cash":165.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.44,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":203.44,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":203.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":134.79,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":159.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":159.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":159.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":222.86,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":222.86,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":186.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":186.01,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":211.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":244.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":166.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":195.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":144.82,"methodology":"fee schedule"}]}]},{"description":"RHC FNA BX WO IMG 1ST LES","code_information":[{"code":"10021","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":64.42,"maximum":244.02,"gross_charge":249,"discounted_cash":165.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.44,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":203.44,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":203.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":195.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":152.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":180.03,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":180.03,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":180.03,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":222.86,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":222.86,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":186.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":200.2,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":211.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":244.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":193.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":228.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":169.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":64.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":64.42,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":64.42,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":64.42,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":64.42,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":64.42,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":64.42,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":64.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":64.42,"methodology":"fee schedule"}]}]},{"description":"GUIDE CATHET FLUID DRAINAGE","code_information":[{"code":"10030","type":"CPT"}],"standard_charges":[{"minimum":152.94,"maximum":152.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":152.94,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":152.94,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":152.94,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":152.94,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":152.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PERQ DEV SOFT TISS 1ST IMAG","code_information":[{"code":"10035","type":"CPT"}],"standard_charges":[{"minimum":492.55,"maximum":492.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":492.55,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":492.55,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":492.55,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":492.55,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":492.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PERQ DEV SOFT TISS ADD IMAG","code_information":[{"code":"10036","type":"CPT"}],"standard_charges":[{"minimum":430.75,"maximum":430.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":430.75,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":430.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":430.75,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":430.75,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":430.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"ACNE SURGERY","code_information":[{"code":"10040","type":"CPT"}],"standard_charges":[{"minimum":55.12,"maximum":55.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.12,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.12,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.12,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.12,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.12,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"I AND D ABSCESS SIMPLE","code_information":[{"code":"10060","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":145.61,"maximum":263.62,"gross_charge":269,"discounted_cash":179.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":219.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":219.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":145.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":172.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":172.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":172.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":240.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":240.76,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":201.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":200.95,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":228.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":263.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":179.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":210.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":156.46,"methodology":"fee schedule"}]}]},{"description":"I AND D ABSCESS SIMPLE","code_information":[{"code":"10060","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":48.7,"maximum":263.62,"gross_charge":269,"discounted_cash":179.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":219.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":219.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.68,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":165.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":194.49,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":194.49,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":194.49,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":240.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":240.76,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":201.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":216.28,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":228.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":263.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":209.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":246.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":182.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.7,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.7,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.7,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.7,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"}]}]},{"description":"PF I AND D ABSCESS SIMPLE","code_information":[{"code":"10060","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":139.12,"maximum":251.86,"gross_charge":257,"discounted_cash":171.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.97,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":209.97,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":209.97,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.36,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":139.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":164.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":164.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":164.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":230.02,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":230.02,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":192.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":191.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":218.45,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":251.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":171.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":201.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":149.48,"methodology":"fee schedule"}]}]},{"description":"PF I AND D ABSCESS SIMPLE","code_information":[{"code":"10060","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":48.7,"maximum":251.86,"gross_charge":257,"discounted_cash":171.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.97,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":209.97,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":209.97,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":202.24,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":157.75,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":185.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":185.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":185.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":230.02,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":230.02,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":192.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":206.63,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":218.45,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":251.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":199.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":235.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":174.51,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.7,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.7,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.7,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.7,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":66.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":66.49,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":66.49,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":66.49,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":66.49,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":66.49,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":66.49,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":66.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":66.49,"methodology":"fee schedule"}]}]},{"description":"RHC I D ABSCESS SIMPLE","code_information":[{"code":"10060","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":145.61,"maximum":263.62,"gross_charge":269,"discounted_cash":179.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":219.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":219.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":145.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":172.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":172.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":172.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":240.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":240.76,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":201.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":200.95,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":228.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":263.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":179.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":210.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":156.46,"methodology":"fee schedule"}]}]},{"description":"RHC I D ABSCESS SIMPLE","code_information":[{"code":"10060","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":48.7,"maximum":263.62,"gross_charge":269,"discounted_cash":179.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":219.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":219.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.68,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":165.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":194.49,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":194.49,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":194.49,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":240.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":240.76,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":201.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":216.28,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":228.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":263.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":209.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":246.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":182.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.7,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.7,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.7,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.7,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"}]}]},{"description":"I D ABSCESS COMP/MULTI","code_information":[{"code":"10061","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":270.65,"maximum":490,"gross_charge":500,"discounted_cash":333,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":408.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":408.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":408.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":347,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":270.65,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":320,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":320,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":320,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":447.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":447.5,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":375,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":373.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":425,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":490,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":333.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":392.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":290.8,"methodology":"fee schedule"}]}]},{"description":"I D ABSCESS COMP/MULTI","code_information":[{"code":"10061","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":108.67,"maximum":490,"gross_charge":500,"discounted_cash":333,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":408.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":408.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":408.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":393.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":306.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":361.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":361.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":361.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":447.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":447.5,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":375,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":402,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":425,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":490,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":389,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":459,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":339.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.67,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.67,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.67,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":129.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":129.35,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":129.35,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":129.35,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":129.35,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":129.35,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":129.35,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":129.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":129.35,"methodology":"fee schedule"}]}]},{"description":"PF I D ABSCESS COMPLEX","code_information":[{"code":"10061","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":257.66,"maximum":466.48,"gross_charge":476,"discounted_cash":317.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":388.9,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":388.9,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":388.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":257.66,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":304.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":304.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":304.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":426.02,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":426.02,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":357,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":355.58,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":404.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":466.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":317.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":373.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":276.85,"methodology":"fee schedule"}]}]},{"description":"PF I D ABSCESS COMPLEX","code_information":[{"code":"10061","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":108.67,"maximum":466.48,"gross_charge":476,"discounted_cash":317.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":388.9,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":388.9,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":388.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":374.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":292.17,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":344.15,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":344.15,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":344.15,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":426.02,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":426.02,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":357,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":382.71,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":404.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":466.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":370.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":436.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":323.21,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.67,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.67,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.67,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":123.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":123.15,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":123.15,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":123.15,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":123.15,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":123.15,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":123.15,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":123.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":123.15,"methodology":"fee schedule"}]}]},{"description":"RHC I D ABSCESS COMP/MULT","code_information":[{"code":"10061","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":270.11,"maximum":489.02,"gross_charge":499,"discounted_cash":332.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":407.69,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":407.69,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":407.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":270.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":319.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":319.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":319.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":446.61,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":446.61,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":374.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":372.76,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":424.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":489.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":333.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":391.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":290.22,"methodology":"fee schedule"}]}]},{"description":"RHC I D ABSCESS COMP/MULT","code_information":[{"code":"10061","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":108.67,"maximum":489.02,"gross_charge":499,"discounted_cash":332.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":407.69,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":407.69,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":407.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":392.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":306.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":360.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":360.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":360.78,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":446.61,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":446.61,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":374.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":401.2,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":424.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":489.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":388.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":458.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":338.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.67,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.67,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.67,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"}]}]},{"description":"RHC I D CYS PILONIDAL SMP","code_information":[{"code":"10080","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":69.29,"maximum":125.44,"gross_charge":128,"discounted_cash":85.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.84,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":69.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":81.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":81.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":81.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":114.56,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":95.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":125.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":85.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":100.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":74.45,"methodology":"fee schedule"}]}]},{"description":"RHC I D CYS PILONIDAL SMP","code_information":[{"code":"10080","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":33.12,"maximum":125.44,"gross_charge":128,"discounted_cash":85.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":78.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":92.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":92.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":92.55,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":114.56,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":102.92,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":125.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":99.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":117.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":86.92,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.23,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.23,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.23,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.23,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.23,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"}]}]},{"description":"DRAINAGE OF PILONIDAL CYST","code_information":[{"code":"10081","type":"CPT"}],"standard_charges":[{"minimum":165.72,"maximum":165.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":165.72,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":165.72,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":165.72,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":165.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":165.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"I AND R FB SUBQ SIMPLE","code_information":[{"code":"10120","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":140.2,"maximum":253.82,"gross_charge":259,"discounted_cash":172.5,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":211.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":211.61,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":179.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":140.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":165.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":165.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":165.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":231.81,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":231.81,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":194.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":193.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":220.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":253.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":172.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":203.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":150.64,"methodology":"fee schedule"}]}]},{"description":"I AND R FB SUBQ SIMPLE","code_information":[{"code":"10120","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":59.38,"maximum":253.82,"gross_charge":259,"discounted_cash":172.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":211.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":211.61,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":158.98,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":187.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":187.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":187.26,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":231.81,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":231.81,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":194.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":208.24,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":220.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":253.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":201.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":237.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":175.87,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.38,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.38,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.38,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.38,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"}]}]},{"description":"PF I AND R FB SUBQ SIMPLE","code_information":[{"code":"10120","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":149.4,"maximum":270.48,"gross_charge":276,"discounted_cash":183.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":225.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":225.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":149.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":176.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":176.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":176.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":247.02,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":247.02,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":207,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":206.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":234.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":270.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":184.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":216.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":160.53,"methodology":"fee schedule"}]}]},{"description":"PF I AND R FB SUBQ SIMPLE","code_information":[{"code":"10120","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":59.38,"maximum":270.48,"gross_charge":276,"discounted_cash":183.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":225.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":225.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":169.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":199.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":199.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":199.55,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":247.02,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":247.02,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":207,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":221.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":234.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":270.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":214.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":253.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":187.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.38,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.38,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.38,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.38,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":71.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":71.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":71.41,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":71.41,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":71.41,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":71.41,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":71.41,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":71.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":71.41,"methodology":"fee schedule"}]}]},{"description":"RHC I R FB SUBQ SIMPLE","code_information":[{"code":"10120","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":140.2,"maximum":253.82,"gross_charge":259,"discounted_cash":172.5,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":211.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":211.61,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":179.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":140.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":165.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":165.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":165.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":231.81,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":231.81,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":194.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":193.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":220.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":253.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":172.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":203.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":150.64,"methodology":"fee schedule"}]}]},{"description":"RHC I R FB SUBQ SIMPLE","code_information":[{"code":"10120","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":59.38,"maximum":253.82,"gross_charge":259,"discounted_cash":172.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":211.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":211.61,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":158.98,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":187.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":187.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":187.26,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":231.81,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":231.81,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":194.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":208.24,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":220.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":253.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":201.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":237.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":175.87,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.38,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.38,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.38,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.38,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":67.01,"methodology":"fee schedule"}]}]},{"description":"I AND R FB SUBQ COMPLEX","code_information":[{"code":"10121","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":286.89,"maximum":519.4,"gross_charge":530,"discounted_cash":352.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":433.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":433.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":433.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":367.82,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":286.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":339.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":339.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":339.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":474.35,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":474.35,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":397.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":395.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":450.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":519.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":353.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":415.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":308.25,"methodology":"fee schedule"}]}]},{"description":"I AND R FB SUBQ COMPLEX","code_information":[{"code":"10121","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":134.7,"maximum":519.4,"gross_charge":530,"discounted_cash":352.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":433.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":433.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":433.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":325.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":383.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":383.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":383.19,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":474.35,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":474.35,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":397.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":426.12,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":450.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":519.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":412.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":486.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":359.87,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":134.7,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":134.7,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":134.7,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":134.7,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":134.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":137.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":137.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":137.12,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":137.12,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":137.12,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":137.12,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":137.12,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":137.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":137.12,"methodology":"fee schedule"}]}]},{"description":"PF I R FB SUBQ COMPLEX","code_information":[{"code":"10121","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":264.7,"maximum":479.22,"gross_charge":489,"discounted_cash":325.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":399.52,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":399.52,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":399.52,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":339.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":264.7,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":312.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":312.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":312.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":437.66,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":366.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":365.29,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":415.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":479.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":326.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":383.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":284.41,"methodology":"fee schedule"}]}]},{"description":"PF I R FB SUBQ COMPLEX","code_information":[{"code":"10121","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":126.51,"maximum":479.22,"gross_charge":489,"discounted_cash":325.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":399.52,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":399.52,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":399.52,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":384.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":300.15,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":353.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":353.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":353.55,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":437.66,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":366.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":393.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":415.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":479.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":380.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":448.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":332.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":134.7,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":134.7,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":134.7,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":134.7,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":134.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":126.51,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":126.51,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":126.51,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":126.51,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":126.51,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":126.51,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":126.51,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":126.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":126.51,"methodology":"fee schedule"}]}]},{"description":"I D HEMATOMA/SEROMA/FLUID","code_information":[{"code":"10140","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":646.86,"maximum":1171.1,"gross_charge":1195,"discounted_cash":795.87,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":976.32,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":976.32,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":976.32,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":829.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":646.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":764.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":764.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":764.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1069.53,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1069.53,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":896.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":892.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1015.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1171.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":797.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":937,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":695.02,"methodology":"fee schedule"}]}]},{"description":"I D HEMATOMA/SEROMA/FLUID","code_information":[{"code":"10140","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":57.25,"maximum":1171.1,"gross_charge":1195,"discounted_cash":795.87,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":976.32,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":976.32,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":976.32,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":940.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":733.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":863.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":863.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":863.99,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1069.53,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1069.53,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":896.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":960.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1015.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1171.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":929.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1097.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":811.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.25,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.25,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":309.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":309.15,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":309.15,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":309.15,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":309.15,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":309.15,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":309.15,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":309.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":309.15,"methodology":"fee schedule"}]}]},{"description":"PF I D HEMATMA/SRMA/FLUID","code_information":[{"code":"10140","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":168.89,"maximum":305.76,"gross_charge":312,"discounted_cash":207.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":254.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":254.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":254.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":216.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":168.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":199.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":199.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":199.68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":279.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":279.24,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":234,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":233.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":265.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":305.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":208.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":244.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":181.46,"methodology":"fee schedule"}]}]},{"description":"PF I D HEMATMA/SRMA/FLUID","code_information":[{"code":"10140","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":57.25,"maximum":305.76,"gross_charge":312,"discounted_cash":207.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":254.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":254.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":254.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.52,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":191.51,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":225.58,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":225.58,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":225.58,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":279.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":279.24,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":234,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":250.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":265.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":305.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":242.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":286.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.25,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.25,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":80.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":80.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":80.72,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":80.72,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":80.72,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":80.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":80.72,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":80.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":80.72,"methodology":"fee schedule"}]}]},{"description":"RHC I D HEMATM/SRMA/FLUID","code_information":[{"code":"10140","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":616,"maximum":1115.24,"gross_charge":1138,"discounted_cash":757.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":929.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":929.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":929.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":789.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":616,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":728.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":728.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":728.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1018.51,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1018.51,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":853.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":850.09,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":967.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1115.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":759.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":892.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":661.87,"methodology":"fee schedule"}]}]},{"description":"RHC I D HEMATM/SRMA/FLUID","code_information":[{"code":"10140","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":57.25,"maximum":1115.24,"gross_charge":1138,"discounted_cash":757.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":929.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":929.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":929.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":895.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":698.51,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":822.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":822.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":822.78,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1018.51,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1018.51,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":853.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":914.96,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":967.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1115.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":885.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1044.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":772.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.25,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.25,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":294.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":294.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":294.41,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":294.41,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":294.41,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":294.41,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":294.41,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":294.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":294.41,"methodology":"fee schedule"}]}]},{"description":"ASP ABSC/HEMA/CYST/BULLA","code_information":[{"code":"10160","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1641.77,"maximum":2972.34,"gross_charge":3033,"discounted_cash":2019.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2477.97,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":2477.97,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":2477.97,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2104.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1641.77,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1941.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1941.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1941.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2714.54,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":2714.54,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2274.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":2265.66,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":2578.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2972.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":2024.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":2378.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1764,"methodology":"fee schedule"}]}]},{"description":"ASP ABSC/HEMA/CYST/BULLA","code_information":[{"code":"10160","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":53.83,"maximum":2972.34,"gross_charge":3033,"discounted_cash":2019.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2477.97,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":2477.97,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":2477.97,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2386.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1861.66,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":2192.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":2192.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":2192.86,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2714.54,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":2714.54,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2274.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":2438.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":2578.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2972.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":2359.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":2784.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":2059.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":784.64,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":784.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":784.64,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":784.64,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":784.64,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":784.64,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":784.64,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":784.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":784.64,"methodology":"fee schedule"}]}]},{"description":"ASP ABSC/HEMA/CYST/BULLA","code_information":[{"code":"10160","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":72.54,"maximum":131.32,"gross_charge":134,"discounted_cash":89.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":72.54,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":85.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":85.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":85.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.93,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":119.93,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":100.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":100.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":113.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":131.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":89.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":105.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":77.94,"methodology":"fee schedule"}]}]},{"description":"ASP ABSC/HEMA/CYST/BULLA","code_information":[{"code":"10160","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":34.67,"maximum":131.32,"gross_charge":134,"discounted_cash":89.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":82.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":96.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":96.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":96.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.93,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":119.93,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":100.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":107.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":113.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":131.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":104.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":123.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":90.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"}]}]},{"description":"PF ASP ABSC/HEMA/CYS/BLLA","code_information":[{"code":"10160","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":136.95,"maximum":247.94,"gross_charge":253,"discounted_cash":168.5,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":206.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":206.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":206.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":175.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":136.95,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":161.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":161.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":161.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":226.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":226.44,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":189.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":189,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":215.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":247.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":168.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":198.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":147.15,"methodology":"fee schedule"}]}]},{"description":"PF ASP ABSC/HEMA/CYS/BLLA","code_information":[{"code":"10160","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":53.83,"maximum":247.94,"gross_charge":253,"discounted_cash":168.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":206.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":206.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":206.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":199.09,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":155.3,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":182.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":182.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":182.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":226.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":226.44,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":189.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":203.42,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":215.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":247.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":196.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":232.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":171.79,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":65.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":65.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":65.46,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":65.46,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":65.46,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":65.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":65.46,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":65.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":65.46,"methodology":"fee schedule"}]}]},{"description":"RHC ASP ABSC/HEM/CYS/BLLA","code_information":[{"code":"10160","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":69.29,"maximum":125.44,"gross_charge":128,"discounted_cash":85.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.84,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":69.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":81.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":81.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":81.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":114.56,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":95.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":125.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":85.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":100.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":74.45,"methodology":"fee schedule"}]}]},{"description":"RHC ASP ABSC/HEM/CYS/BLLA","code_information":[{"code":"10160","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":33.12,"maximum":125.44,"gross_charge":128,"discounted_cash":85.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":78.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":92.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":92.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":92.55,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":114.56,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":102.92,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":125.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":99.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":117.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":86.92,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"}]}]},{"description":"I D WOUND POSTOP COMPLEX","code_information":[{"code":"10180","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":276.07,"maximum":499.8,"gross_charge":510,"discounted_cash":339.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":416.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":416.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":416.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":353.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":276.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":326.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":326.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":326.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":456.45,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":456.45,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":382.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":380.97,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":433.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":499.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":340.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":399.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":296.62,"methodology":"fee schedule"}]}]},{"description":"I D WOUND POSTOP COMPLEX","code_information":[{"code":"10180","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":131.94,"maximum":499.8,"gross_charge":510,"discounted_cash":339.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":416.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":416.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":416.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":401.32,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":313.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":368.73,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":368.73,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":368.73,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":456.45,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":456.45,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":382.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":410.04,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":433.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":499.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":396.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":468.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":346.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.01,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.01,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.01,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.01,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":131.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":131.94,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":131.94,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":131.94,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":131.94,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":131.94,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":131.94,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":131.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":131.94,"methodology":"fee schedule"}]}]},{"description":"PF I D WOUND POSTOP CMPLX","code_information":[{"code":"10180","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":267.95,"maximum":485.1,"gross_charge":495,"discounted_cash":329.67,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":404.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":404.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":404.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":343.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":267.95,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":316.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":316.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":316.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":443.03,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":443.03,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":371.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":369.77,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":420.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":485.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":330.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":388.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":287.9,"methodology":"fee schedule"}]}]},{"description":"PF I D WOUND POSTOP CMPLX","code_information":[{"code":"10180","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":128.06,"maximum":485.1,"gross_charge":495,"discounted_cash":329.67,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":404.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":404.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":404.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":389.52,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":303.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":357.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":357.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":357.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":443.03,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":443.03,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":371.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":397.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":420.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":485.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":385.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":454.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":336.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.01,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.01,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.01,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.01,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":128.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":128.06,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":128.06,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":128.06,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":128.06,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":128.06,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":128.06,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":128.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":128.06,"methodology":"fee schedule"}]}]},{"description":"PF DEBR SKN ECZ/INFCT 10%","code_information":[{"code":"11000","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":41.69,"maximum":75.46,"gross_charge":77,"discounted_cash":51.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":62.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":62.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":41.69,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":49.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":49.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":49.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":68.92,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":57.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":57.52,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":65.45,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":51.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":60.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":44.79,"methodology":"fee schedule"}]}]},{"description":"PF DEBR SKN ECZ/INFCT 10%","code_information":[{"code":"11000","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":19.92,"maximum":75.46,"gross_charge":77,"discounted_cash":51.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":62.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":62.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":47.27,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":55.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":55.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":55.68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":68.92,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":57.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":61.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":65.45,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":59.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":70.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":52.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.64,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.64,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.64,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.64,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.64,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":19.92,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":19.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":19.92,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":19.92,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":19.92,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":19.92,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":19.92,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":19.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":19.92,"methodology":"fee schedule"}]}]},{"description":"DEBRIDE INFECTED SKIN ADD-ON","code_information":[{"code":"11001","type":"CPT"}],"standard_charges":[{"minimum":11.96,"maximum":11.96,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.96,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.96,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.96,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.96,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.96,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DEBRIDE GENITALIA  PERINEUM","code_information":[{"code":"11004","type":"CPT"}],"standard_charges":[{"minimum":389.15,"maximum":389.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":389.15,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":389.15,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":389.15,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":389.15,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":389.15,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF DEB NECRO TIS ABD WALL","code_information":[{"code":"11005","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":1129.16,"maximum":2044.28,"gross_charge":2086,"discounted_cash":1389.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1704.27,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1704.27,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1704.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1447.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1129.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1335.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1335.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1335.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1866.97,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1866.97,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1564.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1558.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2044.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1392.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1635.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1213.22,"methodology":"fee schedule"}]}]},{"description":"PF DEB NECRO TIS ABD WALL","code_information":[{"code":"11005","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":520.88,"maximum":2044.28,"gross_charge":2086,"discounted_cash":1389.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1704.27,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1704.27,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1704.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1641.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1280.39,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1508.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1508.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1508.18,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1866.97,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1866.97,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1564.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1677.15,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2044.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1622.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1914.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1416.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":520.88,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":520.88,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":520.88,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":520.88,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":520.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":539.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":539.65,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":539.65,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":539.65,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":539.65,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":539.65,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":539.65,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":539.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":539.65,"methodology":"fee schedule"}]}]},{"description":"DEBRIDE GENIT/PER/ABDOM WALL","code_information":[{"code":"11006","type":"CPT"}],"standard_charges":[{"minimum":489.14,"maximum":489.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":489.14,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":489.14,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":489.14,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":489.14,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":489.14,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE MESH FROM ABD WALL","code_information":[{"code":"11008","type":"CPT"}],"standard_charges":[{"minimum":196.89,"maximum":196.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.89,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.89,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.89,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.89,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"EAR NOSE MOUTH THROAT AND CRANIAL OR FACIAL MALIGNANCIES","code_information":[{"code":"1101","type":"APR-DRG"}],"standard_charges":[{"minimum":15951,"maximum":15951,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":15951,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":15951,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":15951,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":15951,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":15951,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PF DEBR/REM FB SKIN/SUBQ","code_information":[{"code":"11010","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":413.56,"maximum":748.72,"gross_charge":764,"discounted_cash":508.83,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":624.19,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":624.19,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":624.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":530.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":413.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":488.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":488.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":488.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":683.78,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":683.78,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":573,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":570.71,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":649.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":748.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":509.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":599.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":444.35,"methodology":"fee schedule"}]}]},{"description":"PF DEBR/REM FB SKIN/SUBQ","code_information":[{"code":"11010","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":197.65,"maximum":748.72,"gross_charge":764,"discounted_cash":508.83,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":624.19,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":624.19,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":624.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":601.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":468.95,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":552.38,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":552.38,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":552.38,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":683.78,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":683.78,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":573,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":614.26,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":649.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":748.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":594.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":701.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":518.76,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":258.47,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":258.47,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":258.47,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":258.47,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":258.47,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":197.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":197.65,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":197.65,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":197.65,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":197.65,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":197.65,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":197.65,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":197.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":197.65,"methodology":"fee schedule"}]}]},{"description":"DEBRIDE SKIN MUSC AT FX SITE","code_information":[{"code":"11011","type":"CPT"}],"standard_charges":[{"minimum":324.27,"maximum":324.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":324.27,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":324.27,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":324.27,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":324.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":324.27,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF DEBR/REM FB SKN/MUS/BN","code_information":[{"code":"11012","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":455.78,"maximum":825.16,"gross_charge":842,"discounted_cash":560.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":687.92,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":687.92,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":687.92,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":584.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":455.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":538.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":538.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":538.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":753.59,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":753.59,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":631.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":628.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":715.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":825.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":561.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":660.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":489.71,"methodology":"fee schedule"}]}]},{"description":"PF DEBR/REM FB SKN/MUS/BN","code_information":[{"code":"11012","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":217.83,"maximum":825.16,"gross_charge":842,"discounted_cash":560.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":687.92,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":687.92,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":687.92,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":662.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":516.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":608.77,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":608.77,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":608.77,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":753.59,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":753.59,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":631.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":676.97,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":715.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":825.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":655.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":772.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":571.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":441.75,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":441.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":441.75,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":441.75,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":441.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":217.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":217.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":217.83,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":217.83,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":217.83,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":217.83,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":217.83,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":217.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":217.83,"methodology":"fee schedule"}]}]},{"description":"EAR NOSE MOUTH THROAT AND CRANIAL OR FACIAL MALIGNANCIES","code_information":[{"code":"1102","type":"APR-DRG"}],"standard_charges":[{"minimum":18046,"maximum":18046,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":18046,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":18046,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":18046,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":18046,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":18046,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EAR NOSE MOUTH THROAT AND CRANIAL OR FACIAL MALIGNANCIES","code_information":[{"code":"1103","type":"APR-DRG"}],"standard_charges":[{"minimum":26279,"maximum":26279,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":26279,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":26279,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":26279,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":26279,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":26279,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EAR NOSE MOUTH THROAT AND CRANIAL OR FACIAL MALIGNANCIES","code_information":[{"code":"1104","type":"APR-DRG"}],"standard_charges":[{"minimum":45526,"maximum":45526,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":45526,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":45526,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":45526,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":45526,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":45526,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PF DEBR SUBQ TISS 1ST 20","code_information":[{"code":"11042","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":66.58,"maximum":120.54,"gross_charge":123,"discounted_cash":81.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":100.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":100.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":66.58,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.09,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":110.09,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":92.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":91.89,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":104.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":120.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":82.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":96.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":71.54,"methodology":"fee schedule"}]}]},{"description":"PF DEBR SUBQ TISS 1ST 20","code_information":[{"code":"11042","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":31.83,"maximum":120.54,"gross_charge":123,"discounted_cash":81.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":100.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":100.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.79,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":75.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":88.93,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":88.93,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":88.93,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.09,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":110.09,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":92.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":98.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":104.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":120.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":95.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":112.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":31.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":31.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":31.83,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":31.83,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":31.83,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":31.83,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":31.83,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":31.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":31.83,"methodology":"fee schedule"}]}]},{"description":"RHC DEBR SUBQ TISS 1ST 20","code_information":[{"code":"11042","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":212.74,"maximum":385.14,"gross_charge":393,"discounted_cash":261.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":321.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":321.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":321.09,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":272.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":212.74,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":251.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":251.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":251.52,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":351.74,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":351.74,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":294.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":293.58,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":334.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":385.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":262.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":308.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":228.57,"methodology":"fee schedule"}]}]},{"description":"RHC DEBR SUBQ TISS 1ST 20","code_information":[{"code":"11042","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":101.67,"maximum":385.14,"gross_charge":393,"discounted_cash":261.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":321.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":321.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":321.09,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":309.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":241.23,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":284.14,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":284.14,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":284.14,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":351.74,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":351.74,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":294.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":315.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":334.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":385.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":305.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":360.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":266.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":101.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":101.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":101.67,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":101.67,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":101.67,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":101.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":101.67,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":101.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":101.67,"methodology":"fee schedule"}]}]},{"description":"PF DEB SBQ/MUS 1ST 20SQCM","code_information":[{"code":"11043","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":225.19,"maximum":407.68,"gross_charge":416,"discounted_cash":277.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":339.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":339.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":339.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":288.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":225.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":266.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":266.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":266.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":372.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":372.32,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":312,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":310.76,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":353.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":407.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":277.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":326.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":241.95,"methodology":"fee schedule"}]}]},{"description":"PF DEB SBQ/MUS 1ST 20SQCM","code_information":[{"code":"11043","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":107.62,"maximum":407.68,"gross_charge":416,"discounted_cash":277.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":339.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":339.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":339.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":327.36,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":255.35,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":300.77,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":300.77,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":300.77,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":372.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":372.32,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":312,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":334.47,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":353.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":407.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":323.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":381.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":282.47,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":179.86,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":179.86,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":179.86,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":179.86,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":179.86,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":107.62,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":107.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":107.62,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":107.62,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":107.62,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":107.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":107.62,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":107.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":107.62,"methodology":"fee schedule"}]}]},{"description":"PF DEB SBQ/MUS/BNE 1ST 20","code_information":[{"code":"11044","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":251.71,"maximum":455.7,"gross_charge":465,"discounted_cash":309.69,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":379.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":379.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":251.71,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":297.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":297.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":297.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":416.18,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":416.18,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":348.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":347.36,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":395.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":455.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":310.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":364.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":270.45,"methodology":"fee schedule"}]}]},{"description":"PF DEB SBQ/MUS/BNE 1ST 20","code_information":[{"code":"11044","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":120.3,"maximum":455.7,"gross_charge":465,"discounted_cash":309.69,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":379.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":379.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":285.42,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":336.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":336.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":336.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":416.18,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":416.18,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":348.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":373.86,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":395.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":455.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":361.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":426.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":315.74,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":232.41,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":232.41,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":232.41,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":232.41,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":232.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":120.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":120.3,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":120.3,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":120.3,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":120.3,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":120.3,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":120.3,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":120.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":120.3,"methodology":"fee schedule"}]}]},{"description":"DEB SUBQ TISSUE ADD-ON","code_information":[{"code":"11045","type":"CPT"}],"standard_charges":[{"minimum":16.75,"maximum":16.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.75,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.75,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.75,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF DEB SBQ/MUS ADD 20SQCM","code_information":[{"code":"11046","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":81.74,"maximum":147.98,"gross_charge":151,"discounted_cash":100.57,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":123.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":123.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":81.74,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":96.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":96.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":96.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.15,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":135.15,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":113.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":112.8,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":128.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":147.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":100.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":118.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":87.83,"methodology":"fee schedule"}]}]},{"description":"PF DEB SBQ/MUS ADD 20SQCM","code_information":[{"code":"11046","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":35.88,"maximum":147.98,"gross_charge":151,"discounted_cash":100.57,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":123.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":123.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":92.69,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.15,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":135.15,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":113.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":121.41,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":128.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":147.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":117.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":138.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":102.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.88,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.88,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.88,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.88,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":39.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":39.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":39.07,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":39.07,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":39.07,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":39.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":39.07,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":39.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":39.07,"methodology":"fee schedule"}]}]},{"description":"DEB BONE ADD-ON","code_information":[{"code":"11047","type":"CPT"}],"standard_charges":[{"minimum":62.38,"maximum":62.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.38,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.38,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.38,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.38,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"RHC TRIM SKIN LESION 1ST","code_information":[{"code":"11055","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":40.06,"maximum":72.52,"gross_charge":74,"discounted_cash":49.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":60.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":60.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.36,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":40.06,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":47.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":47.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":47.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.23,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":66.23,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":55.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":55.28,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":62.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":72.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":49.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":58.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":43.04,"methodology":"fee schedule"}]}]},{"description":"RHC TRIM SKIN LESION 1ST","code_information":[{"code":"11055","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":19.15,"maximum":72.52,"gross_charge":74,"discounted_cash":49.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":60.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":60.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.24,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":45.43,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":53.51,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":53.51,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":53.51,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.23,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":66.23,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":55.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":59.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":62.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":72.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":57.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":67.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":50.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.22,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.22,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.22,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.22,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"}]}]},{"description":"RHC TRIM SKIN LESION 2-4","code_information":[{"code":"11056","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":53.05,"maximum":96.04,"gross_charge":98,"discounted_cash":65.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.07,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":80.07,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":80.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.02,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":53.05,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":62.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":62.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":62.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.71,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":87.71,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":73.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":73.21,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":83.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":96.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":65.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":76.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":57,"methodology":"fee schedule"}]}]},{"description":"RHC TRIM SKIN LESION 2-4","code_information":[{"code":"11056","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":25.36,"maximum":96.04,"gross_charge":98,"discounted_cash":65.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.07,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":80.07,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":80.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":60.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":70.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":70.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":70.86,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.71,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":87.71,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":73.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":78.8,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":83.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":96.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":76.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":89.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":66.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.06,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.06,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.06,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.06,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":25.36,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":25.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":25.36,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":25.36,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":25.36,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":25.36,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":25.36,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":25.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":25.36,"methodology":"fee schedule"}]}]},{"description":"RHC TRIM SKIN LESION >4","code_information":[{"code":"11057","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":77.95,"maximum":141.12,"gross_charge":144,"discounted_cash":95.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":117.65,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":117.65,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":117.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":77.95,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":92.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":92.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":92.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":128.88,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":108,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":107.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":96.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":112.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":83.76,"methodology":"fee schedule"}]}]},{"description":"RHC TRIM SKIN LESION >4","code_information":[{"code":"11057","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":30.77,"maximum":141.12,"gross_charge":144,"discounted_cash":95.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":117.65,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":117.65,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":117.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.32,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":88.39,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":104.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":104.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":104.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":128.88,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":108,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":115.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":112.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":132.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":97.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.77,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.77,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.77,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.77,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.77,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"}]}]},{"description":"BX SKN TANGENTIAL SNG LES","code_information":[{"code":"11102","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":60.63,"maximum":109.76,"gross_charge":112,"discounted_cash":74.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":91.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":91.51,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":60.63,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":71.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":71.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":71.68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":100.24,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":84,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":83.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":109.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":74.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":87.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":65.14,"methodology":"fee schedule"}]}]},{"description":"BX SKN TANGENTIAL SNG LES","code_information":[{"code":"11102","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":28.98,"maximum":109.76,"gross_charge":112,"discounted_cash":74.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":91.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":91.51,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":68.75,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":80.98,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":80.98,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":80.98,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":100.24,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":84,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":90.05,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":109.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":87.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":102.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":76.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.48,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.48,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.48,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":28.98,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":28.98,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":28.98,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":28.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":28.98,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":28.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":28.98,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":28.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":28.98,"methodology":"fee schedule"}]}]},{"description":"PF BX SKN TANGENT SNG LES","code_information":[{"code":"11102","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":57.92,"maximum":104.86,"gross_charge":107,"discounted_cash":71.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":87.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":87.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":57.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":68.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":68.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":68.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.77,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":95.77,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":80.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":79.93,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":90.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":71.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":83.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":62.24,"methodology":"fee schedule"}]}]},{"description":"PF BX SKN TANGENT SNG LES","code_information":[{"code":"11102","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":27.69,"maximum":104.86,"gross_charge":107,"discounted_cash":71.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":87.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":87.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":84.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":65.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":77.37,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":77.37,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":77.37,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.77,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":95.77,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":80.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":86.03,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":90.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":83.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":98.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":72.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.48,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.48,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.48,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":27.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":27.69,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":27.69,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":27.69,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":27.69,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":27.69,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":27.69,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":27.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":27.69,"methodology":"fee schedule"}]}]},{"description":"BX SKN TANGENT EA ADD LES","code_information":[{"code":"11103","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":35.73,"maximum":64.68,"gross_charge":66,"discounted_cash":43.96,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.93,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":53.93,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":53.93,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":35.73,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":59.07,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":49.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":49.31,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":56.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":64.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":44.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":51.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":38.39,"methodology":"fee schedule"}]}]},{"description":"BX SKN TANGENT EA ADD LES","code_information":[{"code":"11103","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":17.08,"maximum":64.68,"gross_charge":66,"discounted_cash":43.96,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.93,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":53.93,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":53.93,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":40.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":47.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":47.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":47.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":59.07,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":49.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":53.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":56.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":64.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":51.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":44.82,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.42,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.42,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.42,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.42,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":17.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":17.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":17.08,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":17.08,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":17.08,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":17.08,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":17.08,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":17.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":17.08,"methodology":"fee schedule"}]}]},{"description":"PF BX SKN TANGENT ADD LES","code_information":[{"code":"11103","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":33.57,"maximum":60.76,"gross_charge":62,"discounted_cash":41.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.66,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":50.66,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":50.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.03,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":33.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":39.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":39.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":39.68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.49,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":55.49,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":46.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":46.32,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":52.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":41.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":48.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":36.06,"methodology":"fee schedule"}]}]},{"description":"PF BX SKN TANGENT ADD LES","code_information":[{"code":"11103","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":16.04,"maximum":60.76,"gross_charge":62,"discounted_cash":41.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.66,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":50.66,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":50.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.79,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":38.06,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":44.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":44.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":44.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.49,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":55.49,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":46.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":49.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":52.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":48.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":56.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":42.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.42,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.42,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.42,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.42,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"}]}]},{"description":"BX SKIN PUNCH SNG LESION","code_information":[{"code":"11104","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":75.79,"maximum":137.2,"gross_charge":140,"discounted_cash":93.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":75.79,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":89.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":89.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":89.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.3,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":125.3,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":105,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":119,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":137.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":93.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":109.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":81.43,"methodology":"fee schedule"}]}]},{"description":"BX SKIN PUNCH SNG LESION","code_information":[{"code":"11104","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":36.22,"maximum":137.2,"gross_charge":140,"discounted_cash":93.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.17,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":85.94,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":101.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":101.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":101.22,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.3,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":125.3,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":105,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":112.56,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":119,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":137.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":108.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":128.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":95.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.65,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.65,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.65,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.65,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.65,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"}]}]},{"description":"PF BX SKIN PUNCH SNG LES","code_information":[{"code":"11104","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":72.54,"maximum":131.32,"gross_charge":134,"discounted_cash":89.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":72.54,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":85.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":85.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":85.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.93,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":119.93,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":100.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":100.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":113.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":131.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":89.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":105.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":77.94,"methodology":"fee schedule"}]}]},{"description":"PF BX SKIN PUNCH SNG LES","code_information":[{"code":"11104","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":34.67,"maximum":131.32,"gross_charge":134,"discounted_cash":89.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":82.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":96.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":96.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":96.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.93,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":119.93,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":100.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":107.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":113.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":131.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":104.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":123.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":90.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.65,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.65,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.65,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.65,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.65,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"}]}]},{"description":"BX SKIN PUNCH EA ADD LES","code_information":[{"code":"11105","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":42.23,"maximum":76.44,"gross_charge":78,"discounted_cash":51.95,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.73,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":63.73,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":63.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":42.23,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":49.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":49.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":49.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.81,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":69.81,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":58.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":58.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":66.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":76.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":52.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":61.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":45.37,"methodology":"fee schedule"}]}]},{"description":"BX SKIN PUNCH EA ADD LES","code_information":[{"code":"11105","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":20.18,"maximum":76.44,"gross_charge":78,"discounted_cash":51.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.73,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":63.73,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":63.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":47.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":56.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":56.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":56.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.81,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":69.81,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":58.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":62.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":66.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":76.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":60.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":71.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":52.97,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.78,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.78,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.78,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":20.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":20.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":20.18,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":20.18,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":20.18,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":20.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":20.18,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":20.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":20.18,"methodology":"fee schedule"}]}]},{"description":"PF BX SKN PNCH EA ADD LES","code_information":[{"code":"11105","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":40.06,"maximum":72.52,"gross_charge":74,"discounted_cash":49.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":60.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":60.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.36,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":40.06,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":47.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":47.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":47.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.23,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":66.23,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":55.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":55.28,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":62.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":72.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":49.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":58.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":43.04,"methodology":"fee schedule"}]}]},{"description":"PF BX SKN PNCH EA ADD LES","code_information":[{"code":"11105","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":19.15,"maximum":72.52,"gross_charge":74,"discounted_cash":49.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":60.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":60.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.24,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":45.43,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":53.51,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":53.51,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":53.51,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.23,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":66.23,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":55.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":59.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":62.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":72.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":57.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":67.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":50.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.78,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.78,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.78,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":19.15,"methodology":"fee schedule"}]}]},{"description":"BX SKN INCISIONAL SNG LES","code_information":[{"code":"11106","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":93.11,"maximum":168.56,"gross_charge":172,"discounted_cash":114.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":140.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":140.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":93.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":110.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":110.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":110.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":153.94,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":153.94,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":129,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":128.49,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":146.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":168.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":114.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":134.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":100.04,"methodology":"fee schedule"}]}]},{"description":"BX SKN INCISIONAL SNG LES","code_information":[{"code":"11106","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":44.5,"maximum":168.56,"gross_charge":172,"discounted_cash":114.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":140.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":140.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":105.58,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":124.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":124.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":124.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":153.94,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":153.94,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":129,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":138.29,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":146.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":168.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":133.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":157.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":116.79,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.71,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.71,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.71,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.71,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":44.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":44.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":44.5,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":44.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":44.5,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":44.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":44.5,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":44.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":44.5,"methodology":"fee schedule"}]}]},{"description":"PF BX SKIN INCIS SNG LES","code_information":[{"code":"11106","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":88.24,"maximum":159.74,"gross_charge":163,"discounted_cash":108.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":133.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":133.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":88.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":104.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":104.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":104.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":145.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":145.89,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":122.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":121.77,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":138.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":159.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":108.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":127.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":94.81,"methodology":"fee schedule"}]}]},{"description":"PF BX SKIN INCIS SNG LES","code_information":[{"code":"11106","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":42.17,"maximum":159.74,"gross_charge":163,"discounted_cash":108.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":133.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":133.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":100.05,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":117.85,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":117.85,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":117.85,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":145.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":145.89,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":122.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":131.06,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":138.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":159.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":126.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":149.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":110.68,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.71,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.71,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.71,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.71,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":42.17,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":42.17,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":42.17,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":42.17,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":42.17,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":42.17,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":42.17,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":42.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":42.17,"methodology":"fee schedule"}]}]},{"description":"BX SKIN INCIS EA ADD LES","code_information":[{"code":"11107","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":49.8,"maximum":90.16,"gross_charge":92,"discounted_cash":61.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":75.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":75.17,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":49.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":58.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":58.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":58.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.34,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":82.34,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":69,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":68.73,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":78.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":90.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":61.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":72.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":53.51,"methodology":"fee schedule"}]}]},{"description":"BX SKIN INCIS EA ADD LES","code_information":[{"code":"11107","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":23.81,"maximum":90.16,"gross_charge":92,"discounted_cash":61.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":75.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":75.17,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":56.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":66.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":66.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":66.52,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.34,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":82.34,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":69,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":73.97,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":78.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":90.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":71.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":84.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":62.47,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.82,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.82,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.82,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.82,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":23.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":23.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":23.81,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":23.81,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":23.81,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":23.81,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":23.81,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":23.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":23.81,"methodology":"fee schedule"}]}]},{"description":"PF BX SKIN INCIS ADD LES","code_information":[{"code":"11107","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":47.1,"maximum":85.26,"gross_charge":87,"discounted_cash":57.95,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.08,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":71.08,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":71.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":47.1,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":55.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":55.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":55.68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.87,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":77.87,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":65.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":64.99,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":73.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":58.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":68.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":50.6,"methodology":"fee schedule"}]}]},{"description":"PF BX SKIN INCIS ADD LES","code_information":[{"code":"11107","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":22.51,"maximum":85.26,"gross_charge":87,"discounted_cash":57.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.08,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":71.08,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":71.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.47,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":53.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":62.91,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":62.91,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":62.91,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.87,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":77.87,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":65.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":69.95,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":73.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":67.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":79.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":59.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.82,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.82,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.82,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.82,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":22.51,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":22.51,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":22.51,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":22.51,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":22.51,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":22.51,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":22.51,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":22.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":22.51,"methodology":"fee schedule"}]}]},{"description":"VERTIGO AND OTHER LABYRINTH DISORDERS","code_information":[{"code":"1111","type":"APR-DRG"}],"standard_charges":[{"minimum":12247,"maximum":12247,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":12247,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":12247,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":12247,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":12247,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":12247,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"VERTIGO AND OTHER LABYRINTH DISORDERS","code_information":[{"code":"1112","type":"APR-DRG"}],"standard_charges":[{"minimum":14042,"maximum":14042,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":14042,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":14042,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":14042,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":14042,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":14042,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"VERTIGO AND OTHER LABYRINTH DISORDERS","code_information":[{"code":"1113","type":"APR-DRG"}],"standard_charges":[{"minimum":17044,"maximum":17044,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":17044,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":17044,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":17044,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":17044,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":17044,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"VERTIGO AND OTHER LABYRINTH DISORDERS","code_information":[{"code":"1114","type":"APR-DRG"}],"standard_charges":[{"minimum":35371,"maximum":35371,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":35371,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":35371,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":35371,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":35371,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":35371,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PF REMOVE SKIN TAGS <=15","code_information":[{"code":"11200","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":109.35,"maximum":197.96,"gross_charge":202,"discounted_cash":134.54,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":165.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":165.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":165.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":109.35,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":129.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":129.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":129.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":180.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":180.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":151.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":150.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":171.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":197.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":134.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":158.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":117.49,"methodology":"fee schedule"}]}]},{"description":"PF REMOVE SKIN TAGS <=15","code_information":[{"code":"11200","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":36.32,"maximum":197.96,"gross_charge":202,"discounted_cash":134.54,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":165.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":165.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":165.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.96,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":123.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":146.05,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":146.05,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":146.05,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":180.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":180.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":151.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":162.41,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":171.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":197.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":157.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":185.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":137.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":52.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":52.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":52.26,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":52.26,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":52.26,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":52.26,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":52.26,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":52.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":52.26,"methodology":"fee schedule"}]}]},{"description":"REMOVE SKIN TAGS <=15","code_information":[{"code":"11200","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":86.61,"maximum":156.8,"gross_charge":160,"discounted_cash":106.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":130.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":130.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":86.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":102.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":102.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":102.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":143.2,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":119.52,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":136,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":156.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":106.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":125.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":93.06,"methodology":"fee schedule"}]}]},{"description":"REMOVE SKIN TAGS <=15","code_information":[{"code":"11200","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":36.32,"maximum":156.8,"gross_charge":160,"discounted_cash":106.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":130.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":130.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":98.21,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":115.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":115.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":115.68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":143.2,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":128.64,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":136,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":156.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":124.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":146.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":108.64,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"}]}]},{"description":"RHC REMOVE SKIN TAGS <=15","code_information":[{"code":"11200","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":82.82,"maximum":149.94,"gross_charge":153,"discounted_cash":101.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.94,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":136.94,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":114.3,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":130.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":149.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":119.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":88.99,"methodology":"fee schedule"}]}]},{"description":"RHC REMOVE SKIN TAGS <=15","code_information":[{"code":"11200","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":36.32,"maximum":149.94,"gross_charge":153,"discounted_cash":101.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":93.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":110.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":110.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":110.62,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.94,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":136.94,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":123.02,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":130.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":149.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":119.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":140.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":103.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"}]}]},{"description":"PF REMOVE SKIN TAGS ADD10","code_information":[{"code":"11201","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":25.45,"maximum":46.06,"gross_charge":47,"discounted_cash":31.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.62,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":25.45,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":30.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":30.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":30.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":42.07,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":35.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":35.11,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":39.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":31.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":36.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":27.34,"methodology":"fee schedule"}]}]},{"description":"PF REMOVE SKIN TAGS ADD10","code_information":[{"code":"11201","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":12.16,"maximum":46.06,"gross_charge":47,"discounted_cash":31.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":28.85,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":33.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":33.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":33.99,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":42.07,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":35.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":37.79,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":39.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":36.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":43.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":31.92,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.53,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.53,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.53,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"}]}]},{"description":"RHC REM SKIN TAG ADD 10+","code_information":[{"code":"11201","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":46.02,"maximum":83.3,"gross_charge":85,"discounted_cash":56.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.45,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":69.45,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":69.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":46.02,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":76.08,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":63.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":72.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":83.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":56.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":49.44,"methodology":"fee schedule"}]}]},{"description":"RHC REM SKIN TAG ADD 10+","code_information":[{"code":"11201","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":14.53,"maximum":83.3,"gross_charge":85,"discounted_cash":56.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.45,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":69.45,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":69.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":52.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":61.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":61.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":61.46,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":76.08,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":68.34,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":72.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":83.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":66.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":78.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":57.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.53,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.53,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.53,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":21.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":21.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":21.99,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":21.99,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":21.99,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":21.99,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":21.99,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":21.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":21.99,"methodology":"fee schedule"}]}]},{"description":"PF SHV LES T/A/L <=0.5CM","code_information":[{"code":"11300","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":51.97,"maximum":94.08,"gross_charge":96,"discounted_cash":63.94,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.44,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":78.44,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":78.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":51.97,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":61.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":61.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":61.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":85.92,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":71.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":64.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":75.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":55.84,"methodology":"fee schedule"}]}]},{"description":"PF SHV LES T/A/L <=0.5CM","code_information":[{"code":"11300","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":24.84,"maximum":94.08,"gross_charge":96,"discounted_cash":63.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.44,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":78.44,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":78.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":58.93,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":69.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":69.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":69.41,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":85.92,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":77.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":74.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":88.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":65.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.33,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.33,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.33,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.33,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES T/A/L <=0.5CM","code_information":[{"code":"11300","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":114.22,"maximum":206.78,"gross_charge":211,"discounted_cash":140.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":114.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":135.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":135.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":135.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.85,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":188.85,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":158.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":157.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":179.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":206.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":140.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":165.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":122.72,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES T/A/L <=0.5CM","code_information":[{"code":"11300","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":30.33,"maximum":206.78,"gross_charge":211,"discounted_cash":140.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":129.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":152.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":152.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":152.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.85,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":188.85,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":158.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":169.65,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":179.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":206.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":164.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":193.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":143.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.33,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.33,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.33,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.33,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES T/A/L 0.6-1CM","code_information":[{"code":"11301","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":114.22,"maximum":206.78,"gross_charge":211,"discounted_cash":140.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":114.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":135.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":135.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":135.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.85,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":188.85,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":158.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":157.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":179.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":206.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":140.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":165.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":122.72,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES T/A/L 0.6-1CM","code_information":[{"code":"11301","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":38.88,"maximum":206.78,"gross_charge":211,"discounted_cash":140.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":129.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":152.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":152.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":152.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.85,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":188.85,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":158.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":169.65,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":179.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":206.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":164.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":193.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":143.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.88,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.88,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.88,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.88,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES T/A/L 1.1-2CM","code_information":[{"code":"11302","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":114.22,"maximum":206.78,"gross_charge":211,"discounted_cash":140.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":114.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":135.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":135.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":135.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.85,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":188.85,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":158.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":157.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":179.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":206.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":140.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":165.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":122.72,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES T/A/L 1.1-2CM","code_information":[{"code":"11302","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":44.86,"maximum":206.78,"gross_charge":211,"discounted_cash":140.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":172.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":129.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":152.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":152.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":152.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.85,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":188.85,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":158.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":169.65,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":179.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":206.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":164.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":193.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":143.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.86,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.86,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.86,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.86,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.86,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":54.59,"methodology":"fee schedule"}]}]},{"description":"SHAVE SKIN LESION >2.0 CM","code_information":[{"code":"11303","type":"CPT"}],"standard_charges":[{"minimum":53.83,"maximum":53.83,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"RHC SHV LES S/N/HF<=0.5CM","code_information":[{"code":"11305","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":73.08,"maximum":132.3,"gross_charge":135,"discounted_cash":89.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":73.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":101.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":100.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":90.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":105.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":78.52,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES S/N/HF<=0.5CM","code_information":[{"code":"11305","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":29.48,"maximum":132.3,"gross_charge":135,"discounted_cash":89.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.24,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":82.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":101.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":108.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":105.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":123.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":91.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.48,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.48,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.48,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"}]}]},{"description":"PF SHV LES S/N/HF 0.6-1CM","code_information":[{"code":"11306","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":72.54,"maximum":131.32,"gross_charge":134,"discounted_cash":89.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":72.54,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":85.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":85.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":85.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.93,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":119.93,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":100.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":100.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":113.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":131.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":89.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":105.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":77.94,"methodology":"fee schedule"}]}]},{"description":"PF SHV LES S/N/HF 0.6-1CM","code_information":[{"code":"11306","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":34.67,"maximum":131.32,"gross_charge":134,"discounted_cash":89.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":82.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":96.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":96.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":96.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.93,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":119.93,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":100.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":107.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":113.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":131.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":104.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":123.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":90.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.59,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.59,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.59,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.59,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":34.67,"methodology":"fee schedule"}]}]},{"description":"SHAVE LES S/N/HF 0.6-1CM","code_information":[{"code":"11306","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":80.12,"maximum":145.04,"gross_charge":148,"discounted_cash":98.57,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.92,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":120.92,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":120.92,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":80.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":94.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":94.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":94.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.46,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":132.46,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":111,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":110.56,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":125.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":145.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":98.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":116.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":86.08,"methodology":"fee schedule"}]}]},{"description":"SHAVE LES S/N/HF 0.6-1CM","code_information":[{"code":"11306","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":38.29,"maximum":145.04,"gross_charge":148,"discounted_cash":98.57,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.92,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":120.92,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":120.92,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.47,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":90.85,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":107.01,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":107.01,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":107.01,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.46,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":132.46,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":111,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":119,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":125.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":145.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":115.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":135.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":100.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.59,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.59,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.59,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.59,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":38.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":38.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":38.29,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":38.29,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":38.29,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":38.29,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":38.29,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":38.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":38.29,"methodology":"fee schedule"}]}]},{"description":"PF SHV LES S/N/HF 1.1-2CM","code_information":[{"code":"11307","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":97.98,"maximum":177.38,"gross_charge":181,"discounted_cash":120.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":147.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":147.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.62,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":97.98,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":115.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":115.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":115.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":162,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":162,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":135.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":135.21,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":153.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":177.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":120.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":141.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":105.27,"methodology":"fee schedule"}]}]},{"description":"PF SHV LES S/N/HF 1.1-2CM","code_information":[{"code":"11307","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":45.72,"maximum":177.38,"gross_charge":181,"discounted_cash":120.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":147.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":147.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":111.1,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":130.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":130.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":130.87,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":162,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":162,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":135.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":145.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":153.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":177.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":140.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":166.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":122.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.72,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.72,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.72,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES S/N/HF >2.0CM","code_information":[{"code":"11308","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":108.81,"maximum":196.98,"gross_charge":201,"discounted_cash":133.87,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":164.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":164.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":108.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":128.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":128.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":128.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":179.9,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":179.9,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":150.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":150.15,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":170.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":196.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":134.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":157.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":116.91,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES S/N/HF >2.0CM","code_information":[{"code":"11308","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":52,"maximum":196.98,"gross_charge":201,"discounted_cash":133.87,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":164.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":164.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.17,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":123.38,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":145.33,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":145.33,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":145.33,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":179.9,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":179.9,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":150.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":161.61,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":170.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":196.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":156.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":184.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":136.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":52,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":52,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":52,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":52,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":52,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":52,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":52,"methodology":"fee schedule"}]}]},{"description":"INFECTIONS OF UPPER RESPIRATORY TRACT","code_information":[{"code":"1131","type":"APR-DRG"}],"standard_charges":[{"minimum":7249,"maximum":7249,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":7249,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":7249,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":7249,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":7249,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":7249,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PF SHV LES F/E/NL <=0.5CM","code_information":[{"code":"11310","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":67.67,"maximum":122.5,"gross_charge":125,"discounted_cash":83.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":102.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":102.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":67.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":80,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":80,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":80,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":111.88,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":93.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":93.38,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":106.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":122.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":83.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":98.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":72.7,"methodology":"fee schedule"}]}]},{"description":"PF SHV LES F/E/NL <=0.5CM","code_information":[{"code":"11310","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":32.34,"maximum":122.5,"gross_charge":125,"discounted_cash":83.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":102.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":102.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":76.73,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":90.38,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":90.38,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":90.38,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":111.88,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":93.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":100.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":106.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":122.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":97.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":84.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES F/E/NL<=0.5CM","code_information":[{"code":"11310","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":67.67,"maximum":122.5,"gross_charge":125,"discounted_cash":83.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":102.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":102.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":67.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":80,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":80,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":80,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":111.88,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":93.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":93.38,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":106.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":122.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":83.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":98.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":72.7,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES F/E/NL<=0.5CM","code_information":[{"code":"11310","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":32.34,"maximum":122.5,"gross_charge":125,"discounted_cash":83.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":102.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":102.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":76.73,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":90.38,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":90.38,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":90.38,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":111.88,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":93.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":100.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":106.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":122.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":97.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":84.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":32.34,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES F/E/NL0.6-1CM","code_information":[{"code":"11311","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":73.08,"maximum":132.3,"gross_charge":135,"discounted_cash":89.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":73.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":101.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":100.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":90.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":105.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":78.52,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES F/E/NL0.6-1CM","code_information":[{"code":"11311","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":34.93,"maximum":132.3,"gross_charge":135,"discounted_cash":89.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.24,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":82.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":101.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":108.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":105.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":123.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":91.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.28,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.28,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.28,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.28,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.28,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES F/E/NL1.1-2CM","code_information":[{"code":"11312","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":125.59,"maximum":227.36,"gross_charge":232,"discounted_cash":154.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":161.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":125.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":148.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":148.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":148.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":207.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":207.64,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":174,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":173.31,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":197.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":227.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":154.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":181.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":134.94,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES F/E/NL1.1-2CM","code_information":[{"code":"11312","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":49.56,"maximum":227.36,"gross_charge":232,"discounted_cash":154.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":182.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":142.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":167.74,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":167.74,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":167.74,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":207.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":207.64,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":174,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":186.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":197.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":227.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":180.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":212.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":157.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.56,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.56,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.56,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.56,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.56,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES F/E/NL >2.0CM","code_information":[{"code":"11313","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":125.59,"maximum":227.36,"gross_charge":232,"discounted_cash":154.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":161.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":125.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":148.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":148.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":148.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":207.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":207.64,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":174,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":173.31,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":197.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":227.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":154.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":181.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":134.94,"methodology":"fee schedule"}]}]},{"description":"RHC SHV LES F/E/NL >2.0CM","code_information":[{"code":"11313","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":60.02,"maximum":227.36,"gross_charge":232,"discounted_cash":154.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":182.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":142.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":167.74,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":167.74,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":167.74,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":207.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":207.64,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":174,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":186.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":197.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":227.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":180.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":212.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":157.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.8,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.8,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.8,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.8,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.8,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":60.02,"methodology":"fee schedule"}]}]},{"description":"INFECTIONS OF UPPER RESPIRATORY TRACT","code_information":[{"code":"1132","type":"APR-DRG"}],"standard_charges":[{"minimum":10555,"maximum":10555,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":10555,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":10555,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":10555,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":10555,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":10555,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"INFECTIONS OF UPPER RESPIRATORY TRACT","code_information":[{"code":"1133","type":"APR-DRG"}],"standard_charges":[{"minimum":15852,"maximum":15852,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":15852,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":15852,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":15852,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":15852,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":15852,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"INFECTIONS OF UPPER RESPIRATORY TRACT","code_information":[{"code":"1134","type":"APR-DRG"}],"standard_charges":[{"minimum":31395,"maximum":31395,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":31395,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":31395,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":31395,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":31395,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":31395,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EXC BEN LES T/A/L <0.5CM","code_information":[{"code":"11400","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":229.52,"maximum":415.52,"gross_charge":424,"discounted_cash":282.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":229.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":316.73,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":415.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":282.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":332.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":246.6,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES T/A/L <0.5CM","code_information":[{"code":"11400","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":66.65,"maximum":415.52,"gross_charge":424,"discounted_cash":282.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":333.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":260.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":340.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":415.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":329.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":389.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":287.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES T/A/L<=0.5","code_information":[{"code":"11400","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":120.71,"maximum":218.54,"gross_charge":223,"discounted_cash":148.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":182.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":182.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":182.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.77,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":120.71,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":142.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":142.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":142.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":199.59,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":199.59,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":167.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":166.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":218.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":148.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":174.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":129.7,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES T/A/L<=0.5","code_information":[{"code":"11400","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":57.7,"maximum":218.54,"gross_charge":223,"discounted_cash":148.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":182.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":182.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":182.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":175.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":136.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":161.23,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":161.23,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":161.23,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":199.59,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":199.59,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":167.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":179.3,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":218.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":173.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":204.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":151.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":57.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":57.7,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":57.7,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":57.7,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":57.7,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":57.7,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":57.7,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":57.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":57.7,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES T/A/L <0.5","code_information":[{"code":"11400","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":229.52,"maximum":415.52,"gross_charge":424,"discounted_cash":282.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":229.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":316.73,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":415.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":282.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":332.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":246.6,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES T/A/L <0.5","code_information":[{"code":"11400","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":66.65,"maximum":415.52,"gross_charge":424,"discounted_cash":282.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":333.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":260.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":340.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":415.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":329.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":389.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":287.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES T/A/L 0.6-1CM","code_information":[{"code":"11401","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":228.43,"maximum":413.56,"gross_charge":422,"discounted_cash":281.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":292.87,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":228.43,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":270.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":270.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":270.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":377.69,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":377.69,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":316.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":315.24,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":358.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":413.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":281.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":330.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":245.44,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES T/A/L 0.6-1CM","code_information":[{"code":"11401","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":75.19,"maximum":413.56,"gross_charge":422,"discounted_cash":281.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":332.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":259.03,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":305.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":305.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":305.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":377.69,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":377.69,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":316.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":339.29,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":358.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":413.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":328.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":387.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":286.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES T/A/L .6-1","code_information":[{"code":"11401","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":154.28,"maximum":279.3,"gross_charge":285,"discounted_cash":189.81,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":232.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":232.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":232.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":197.79,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":154.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":255.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":255.08,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":212.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":279.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":190.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":223.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":165.76,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES T/A/L .6-1","code_information":[{"code":"11401","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":73.73,"maximum":279.3,"gross_charge":285,"discounted_cash":189.81,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":232.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":232.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":232.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":174.94,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":206.06,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":206.06,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":206.06,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":255.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":255.08,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":229.14,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":279.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":221.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":261.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":193.52,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES T/A/L .6-1","code_information":[{"code":"11401","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":228.43,"maximum":413.56,"gross_charge":422,"discounted_cash":281.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":292.87,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":228.43,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":270.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":270.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":270.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":377.69,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":377.69,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":316.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":315.24,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":358.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":413.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":281.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":330.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":245.44,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES T/A/L .6-1","code_information":[{"code":"11401","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":75.19,"maximum":413.56,"gross_charge":422,"discounted_cash":281.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":332.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":259.03,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":305.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":305.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":305.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":377.69,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":377.69,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":316.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":339.29,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":358.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":413.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":328.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":387.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":286.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES T/A/L 1.1-2CM","code_information":[{"code":"11402","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":228.43,"maximum":413.56,"gross_charge":422,"discounted_cash":281.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":292.87,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":228.43,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":270.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":270.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":270.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":377.69,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":377.69,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":316.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":315.24,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":358.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":413.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":281.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":330.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":245.44,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES T/A/L 1.1-2CM","code_information":[{"code":"11402","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":82.45,"maximum":413.56,"gross_charge":422,"discounted_cash":281.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":332.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":259.03,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":305.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":305.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":305.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":377.69,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":377.69,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":316.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":339.29,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":358.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":413.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":328.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":387.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":286.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES T/A/L1.1-2","code_information":[{"code":"11402","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":164.02,"maximum":296.94,"gross_charge":303,"discounted_cash":201.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":247.56,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":247.56,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":247.56,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":210.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":164.02,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":193.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":193.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":193.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.19,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":271.19,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":227.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":226.35,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":257.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":296.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":202.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":237.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":176.23,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES T/A/L1.1-2","code_information":[{"code":"11402","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":78.39,"maximum":296.94,"gross_charge":303,"discounted_cash":201.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":247.56,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":247.56,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":247.56,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":238.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":185.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":219.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":219.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":219.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.19,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":271.19,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":227.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":243.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":257.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":296.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":235.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":278.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":205.74,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":78.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":78.39,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":78.39,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":78.39,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":78.39,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":78.39,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":78.39,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":78.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":78.39,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES T/A/L1.1-2","code_information":[{"code":"11402","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":228.43,"maximum":413.56,"gross_charge":422,"discounted_cash":281.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":292.87,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":228.43,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":270.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":270.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":270.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":377.69,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":377.69,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":316.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":315.24,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":358.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":413.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":281.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":330.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":245.44,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES T/A/L1.1-2","code_information":[{"code":"11402","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":82.45,"maximum":413.56,"gross_charge":422,"discounted_cash":281.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":344.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":332.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":259.03,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":305.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":305.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":305.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":377.69,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":377.69,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":316.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":339.29,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":358.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":413.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":328.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":387.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":286.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":109.18,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES T/A/L 2.1-3CM","code_information":[{"code":"11403","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":423.84,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":423.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":584.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":522.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":613.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":455.4,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES T/A/L 2.1-3CM","code_information":[{"code":"11403","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":93.13,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":480.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":629.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":609.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":718.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":531.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.13,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.13,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.13,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES T/A/L2.1-3","code_information":[{"code":"11403","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":211.11,"maximum":382.2,"gross_charge":390,"discounted_cash":259.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":318.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":318.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":318.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":270.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":211.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":249.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":249.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":249.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":349.05,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":349.05,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":292.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":291.33,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":331.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":382.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":260.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":305.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":226.83,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES T/A/L2.1-3","code_information":[{"code":"11403","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":93.13,"maximum":382.2,"gross_charge":390,"discounted_cash":259.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":318.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":318.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":318.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":306.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":239.39,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":281.97,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":281.97,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":281.97,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":349.05,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":349.05,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":292.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":313.56,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":331.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":382.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":303.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":358.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":264.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.13,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.13,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.13,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":100.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":100.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":100.9,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":100.9,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":100.9,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":100.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":100.9,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":100.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":100.9,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES T/A/L2.1-3","code_information":[{"code":"11403","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":423.84,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":423.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":584.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":522.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":613.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":455.4,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES T/A/L2.1-3","code_information":[{"code":"11403","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":93.13,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":480.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":629.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":609.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":718.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":531.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.13,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.13,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.13,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES T/A/L 3.1-4CM","code_information":[{"code":"11404","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":241.42,"maximum":437.08,"gross_charge":446,"discounted_cash":297.04,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":364.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":364.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":364.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":309.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":241.42,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":285.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":285.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":285.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":399.17,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":399.17,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":334.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":333.17,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":379.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":437.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":297.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":349.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":259.4,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES T/A/L 3.1-4CM","code_information":[{"code":"11404","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":101.68,"maximum":437.08,"gross_charge":446,"discounted_cash":297.04,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":364.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":364.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":364.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":350.96,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":273.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":322.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":322.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":322.46,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":399.17,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":399.17,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":334.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":358.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":379.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":437.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":346.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":409.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":302.84,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":115.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":115.39,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":115.39,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":115.39,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":115.39,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":115.39,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":115.39,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":115.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":115.39,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES T/A/L3.1-4","code_information":[{"code":"11404","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":239.26,"maximum":433.16,"gross_charge":442,"discounted_cash":294.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":361.12,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":361.12,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":361.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":306.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":239.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":282.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":282.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":282.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":395.59,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":395.59,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":331.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":330.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":375.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":433.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":295,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":346.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":257.07,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES T/A/L3.1-4","code_information":[{"code":"11404","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":101.68,"maximum":433.16,"gross_charge":442,"discounted_cash":294.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":361.12,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":361.12,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":361.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":347.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":271.3,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":319.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":319.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":319.57,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":395.59,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":395.59,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":331.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":355.37,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":375.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":433.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":343.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":405.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":300.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":114.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":114.35,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":114.35,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":114.35,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":114.35,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":114.35,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":114.35,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":114.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":114.35,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES T/A/L3.1-4","code_information":[{"code":"11404","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":243.05,"maximum":440.02,"gross_charge":449,"discounted_cash":299.04,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":366.84,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":366.84,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":366.84,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":311.61,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":243.05,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":287.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":287.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":287.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":401.86,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":401.86,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":336.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":335.41,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":381.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":440.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":299.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":352.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":261.14,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES T/A/L3.1-4","code_information":[{"code":"11404","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":101.68,"maximum":440.02,"gross_charge":449,"discounted_cash":299.04,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":366.84,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":366.84,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":366.84,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":353.32,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":275.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":324.63,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":324.63,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":324.63,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":401.86,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":401.86,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":336.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":361,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":381.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":440.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":349.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":412.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":304.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES T/A/L >4.0CM","code_information":[{"code":"11406","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":368.63,"maximum":667.38,"gross_charge":681,"discounted_cash":453.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":472.62,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":368.63,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":435.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":435.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":435.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":609.5,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":510.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":508.71,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":578.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":667.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":454.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":533.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":396.07,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES T/A/L >4.0CM","code_information":[{"code":"11406","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":176.18,"maximum":667.38,"gross_charge":681,"discounted_cash":453.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":535.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":492.37,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":492.37,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":492.37,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":609.5,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":510.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":547.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":578.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":667.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":529.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":625.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":462.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.72,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.72,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.72,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES T/A/L >4.0","code_information":[{"code":"11406","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":353.47,"maximum":639.94,"gross_charge":653,"discounted_cash":434.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":533.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":533.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":533.51,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":453.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":353.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":417.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":417.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":417.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":584.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":584.44,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":489.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":487.8,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":555.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":639.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":435.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":512.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":379.79,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES T/A/L >4.0","code_information":[{"code":"11406","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":168.94,"maximum":639.94,"gross_charge":653,"discounted_cash":434.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":533.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":533.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":533.51,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":513.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":400.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":472.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":472.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":472.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":584.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":584.44,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":489.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":525.02,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":555.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":639.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":508.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":599.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":443.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.72,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.72,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.72,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":168.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":168.94,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":168.94,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":168.94,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":168.94,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":168.94,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":168.94,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":168.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":168.94,"methodology":"fee schedule"}]}]},{"description":"RHC EXC BEN LES T/A/L>4.0","code_information":[{"code":"11406","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":368.63,"maximum":667.38,"gross_charge":681,"discounted_cash":453.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":472.62,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":368.63,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":435.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":435.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":435.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":609.5,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":510.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":508.71,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":578.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":667.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":454.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":533.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":396.07,"methodology":"fee schedule"}]}]},{"description":"RHC EXC BEN LES T/A/L>4.0","code_information":[{"code":"11406","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":176.18,"maximum":667.38,"gross_charge":681,"discounted_cash":453.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":535.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":492.37,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":492.37,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":492.37,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":609.5,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":510.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":547.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":578.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":667.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":529.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":625.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":462.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.72,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.72,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.72,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"}]}]},{"description":"DENTAL DISEASES AND DISORDERS","code_information":[{"code":"1141","type":"APR-DRG"}],"standard_charges":[{"minimum":8628,"maximum":8628,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":8628,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":8628,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":8628,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":8628,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":8628,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"DENTAL DISEASES AND DISORDERS","code_information":[{"code":"1142","type":"APR-DRG"}],"standard_charges":[{"minimum":12110,"maximum":12110,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":12110,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":12110,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":12110,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":12110,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":12110,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EXC BEN LES S/N/HF <=0.5","code_information":[{"code":"11420","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":423.84,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":423.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":584.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":522.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":613.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":455.4,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES S/N/HF <=0.5","code_information":[{"code":"11420","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":61.09,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":480.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":629.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":609.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":718.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":531.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES S/N/HF<=.5","code_information":[{"code":"11420","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":115.84,"maximum":209.72,"gross_charge":214,"discounted_cash":142.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":174.84,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":174.84,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":174.84,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.52,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":115.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":136.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":136.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":136.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.53,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":191.53,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":160.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":159.86,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":181.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":209.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":142.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":167.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":124.47,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES S/N/HF<=.5","code_information":[{"code":"11420","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":55.37,"maximum":209.72,"gross_charge":214,"discounted_cash":142.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":174.84,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":174.84,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":174.84,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":168.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":131.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":154.73,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":154.73,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":154.73,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.53,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":191.53,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":160.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":172.06,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":181.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":209.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":166.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":196.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":145.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":55.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":55.37,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":55.37,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":55.37,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":55.37,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":55.37,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":55.37,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":55.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":55.37,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES S/N/H<=0.5","code_information":[{"code":"11420","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":403.81,"maximum":731.08,"gross_charge":746,"discounted_cash":496.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":517.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":403.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":559.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":557.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":731.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":497.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":584.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":433.88,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES S/N/H<=0.5","code_information":[{"code":"11420","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":61.09,"maximum":731.08,"gross_charge":746,"discounted_cash":496.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":587.03,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":559.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":599.79,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":731.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":580.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":684.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":506.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES S/N/HF .6-1CM","code_information":[{"code":"11421","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":423.84,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":423.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":584.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":522.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":613.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":455.4,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES S/N/HF .6-1CM","code_information":[{"code":"11421","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":76.9,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":480.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":629.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":609.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":718.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":531.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.9,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.9,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.9,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.9,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES S/N/HF.6-1","code_information":[{"code":"11421","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":157.52,"maximum":285.18,"gross_charge":291,"discounted_cash":193.81,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":237.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":237.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.96,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":157.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":186.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":186.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":186.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":260.45,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":260.45,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":218.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":217.38,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":247.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":285.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":194.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":228.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":169.25,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES S/N/HF.6-1","code_information":[{"code":"11421","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":75.29,"maximum":285.18,"gross_charge":291,"discounted_cash":193.81,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":237.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":237.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":178.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":210.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":210.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":210.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":260.45,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":260.45,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":218.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":233.97,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":247.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":285.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":226.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":267.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":197.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.9,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.9,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.9,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.9,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":75.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":75.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":75.29,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":75.29,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":75.29,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":75.29,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":75.29,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":75.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":75.29,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES S/N/H .6-1","code_information":[{"code":"11421","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":423.84,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":423.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":584.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":522.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":613.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":455.4,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES S/N/H .6-1","code_information":[{"code":"11421","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":76.9,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":480.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":629.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":609.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":718.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":531.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.9,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.9,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.9,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.9,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES S/N/HF 1.1-2","code_information":[{"code":"11422","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":423.84,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":423.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":584.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":522.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":613.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":455.4,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES S/N/HF 1.1-2","code_information":[{"code":"11422","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":85.02,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":480.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":629.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":609.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":718.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":531.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES S/N/H1.1-2","code_information":[{"code":"11422","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":194.33,"maximum":351.82,"gross_charge":359,"discounted_cash":239.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":293.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":293.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":293.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":249.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":194.33,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":229.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":229.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":229.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":321.31,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":321.31,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":269.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":268.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":305.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":351.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":239.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":281.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":208.8,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES S/N/H1.1-2","code_information":[{"code":"11422","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":85.02,"maximum":351.82,"gross_charge":359,"discounted_cash":239.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":293.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":293.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":293.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":282.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":220.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":259.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":259.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":259.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":321.31,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":321.31,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":269.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":288.64,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":305.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":351.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":279.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":329.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":243.77,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":92.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":92.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":92.88,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":92.88,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":92.88,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":92.88,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":92.88,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":92.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":92.88,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES S/N/H1.1-2","code_information":[{"code":"11422","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":423.84,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":423.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":584.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":522.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":613.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":455.4,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES S/N/H1.1-2","code_information":[{"code":"11422","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":85.02,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":480.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":629.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":609.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":718.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":531.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES S/N/HF 2.1-3","code_information":[{"code":"11423","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":816.29,"maximum":1477.84,"gross_charge":1508,"discounted_cash":1004.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1232.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1232.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1232.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1046.56,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":816.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":965.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":965.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":965.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1349.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1349.66,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1131,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1126.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1281.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1477.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1006.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1182.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":877.06,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES S/N/HF 2.1-3","code_information":[{"code":"11423","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":99.55,"maximum":1477.84,"gross_charge":1508,"discounted_cash":1004.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1232.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1232.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1232.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1186.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":925.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1090.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1090.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1090.29,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1349.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1349.66,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1131,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1212.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1281.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1477.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1173.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1384.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1023.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES S/N/H2.1-3","code_information":[{"code":"11423","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":232.76,"maximum":421.4,"gross_charge":430,"discounted_cash":286.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":351.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":351.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":351.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":232.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":275.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":275.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":275.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":384.85,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":384.85,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":322.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":321.21,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":365.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":421.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":286.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":337.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":250.09,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES S/N/H2.1-3","code_information":[{"code":"11423","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":99.55,"maximum":421.4,"gross_charge":430,"discounted_cash":286.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":351.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":351.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":351.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":338.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":263.94,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":310.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":310.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":310.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":384.85,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":384.85,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":322.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":345.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":365.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":421.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":334.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":394.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":291.97,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":111.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":111.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":111.25,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":111.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":111.25,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":111.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":111.25,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":111.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":111.25,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LS S/N/HF2.1-3","code_information":[{"code":"11423","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":817.91,"maximum":1480.78,"gross_charge":1511,"discounted_cash":1006.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1234.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1234.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1234.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1048.64,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":817.91,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":967.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":967.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":967.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1352.35,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1352.35,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1133.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1128.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1284.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1480.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1008.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1184.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":878.8,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LS S/N/HF2.1-3","code_information":[{"code":"11423","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":99.55,"maximum":1480.78,"gross_charge":1511,"discounted_cash":1006.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1234.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1234.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1234.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1189.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":927.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1092.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1092.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1092.46,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1352.35,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1352.35,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1133.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1214.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1284.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1480.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1175.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1387.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1025.97,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":390.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":390.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":390.9,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":390.9,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":390.9,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":390.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":390.9,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":390.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":390.9,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES S/N/HF 3.1-4","code_information":[{"code":"11424","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":278.77,"maximum":504.7,"gross_charge":515,"discounted_cash":342.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":420.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":420.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":420.76,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":357.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":278.77,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":329.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":329.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":329.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":460.93,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":460.93,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":386.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":384.71,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":437.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":504.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":343.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":403.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":299.53,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES S/N/HF 3.1-4","code_information":[{"code":"11424","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":116.21,"maximum":504.7,"gross_charge":515,"discounted_cash":342.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":420.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":420.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":420.76,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":316.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":372.35,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":372.35,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":372.35,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":460.93,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":460.93,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":386.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":414.06,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":437.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":504.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":400.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":472.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":349.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.21,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.21,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.21,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.21,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.21,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":133.24,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":133.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":133.24,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":133.24,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":133.24,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":133.24,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":133.24,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":133.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":133.24,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES SNHF 3.1-4","code_information":[{"code":"11424","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":265.24,"maximum":480.2,"gross_charge":490,"discounted_cash":326.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":400.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":400.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":400.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":340.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":265.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":313.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":313.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":313.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":438.55,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":438.55,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":367.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":366.03,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":416.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":480.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":327.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":384.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":284.99,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES SNHF 3.1-4","code_information":[{"code":"11424","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":116.21,"maximum":480.2,"gross_charge":490,"discounted_cash":326.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":400.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":400.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":400.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":300.77,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":354.27,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":354.27,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":354.27,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":438.55,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":438.55,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":367.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":393.96,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":416.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":480.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":381.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":449.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":332.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.21,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.21,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.21,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.21,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.21,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":126.77,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":126.77,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":126.77,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":126.77,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":126.77,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":126.77,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":126.77,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":126.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":126.77,"methodology":"fee schedule"}]}]},{"description":"PFEX BEN LES S/N/HF>4.0CM","code_information":[{"code":"11426","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":401.65,"maximum":727.16,"gross_charge":742,"discounted_cash":494.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":606.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":606.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":606.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":514.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":401.65,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":474.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":474.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":474.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":664.09,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":664.09,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":556.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":554.28,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":630.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":727.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":495.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":581.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":431.55,"methodology":"fee schedule"}]}]},{"description":"PFEX BEN LES S/N/HF>4.0CM","code_information":[{"code":"11426","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":191.96,"maximum":727.16,"gross_charge":742,"discounted_cash":494.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":606.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":606.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":606.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":583.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":455.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":536.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":536.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":536.47,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":664.09,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":664.09,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":556.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":596.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":630.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":727.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":577.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":681.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":503.82,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":275.55,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":275.55,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":275.55,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":275.55,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":275.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":191.96,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":191.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":191.96,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":191.96,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":191.96,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":191.96,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":191.96,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":191.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":191.96,"methodology":"fee schedule"}]}]},{"description":"DENTAL DISEASES AND DISORDERS","code_information":[{"code":"1143","type":"APR-DRG"}],"standard_charges":[{"minimum":17832,"maximum":17832,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":17832,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":17832,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":17832,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":17832,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":17832,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"DENTAL DISEASES AND DISORDERS","code_information":[{"code":"1144","type":"APR-DRG"}],"standard_charges":[{"minimum":34474,"maximum":34474,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":34474,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":34474,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":34474,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":34474,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":34474,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EXC BEN LES F/E/NL <=0.5","code_information":[{"code":"11440","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":229.52,"maximum":415.52,"gross_charge":424,"discounted_cash":282.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":229.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":316.73,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":415.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":282.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":332.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":246.6,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES F/E/NL <=0.5","code_information":[{"code":"11440","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":73.91,"maximum":415.52,"gross_charge":424,"discounted_cash":282.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":333.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":260.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":340.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":415.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":329.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":389.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":287.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES F/E/NL<=.5","code_information":[{"code":"11440","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":154.82,"maximum":280.28,"gross_charge":286,"discounted_cash":190.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":233.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":233.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":233.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":154.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":183.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":183.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":183.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":255.97,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":255.97,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":214.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":213.65,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":243.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":280.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":190.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":224.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":166.34,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES F/E/NL<=.5","code_information":[{"code":"11440","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":73.91,"maximum":280.28,"gross_charge":286,"discounted_cash":190.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":233.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":233.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":233.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":175.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":206.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":206.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":206.78,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":255.97,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":255.97,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":214.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":229.95,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":243.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":280.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":222.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":262.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":194.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":73.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":73.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":73.99,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":73.99,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":73.99,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":73.99,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":73.99,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":73.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":73.99,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES F/E/N<=0.5","code_information":[{"code":"11440","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":219.23,"maximum":396.9,"gross_charge":405,"discounted_cash":269.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":219.23,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":303.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":302.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":344.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":396.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":270.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":317.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":235.55,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES F/E/N<=0.5","code_information":[{"code":"11440","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":73.91,"maximum":396.9,"gross_charge":405,"discounted_cash":269.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":318.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":248.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":292.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":292.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":292.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":303.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":325.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":344.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":396.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":315.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":371.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES F/E/NL .6-1CM","code_information":[{"code":"11441","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":229.52,"maximum":415.52,"gross_charge":424,"discounted_cash":282.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":229.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":316.73,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":415.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":282.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":332.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":246.6,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES F/E/NL .6-1CM","code_information":[{"code":"11441","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":85.44,"maximum":415.52,"gross_charge":424,"discounted_cash":282.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":333.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":260.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":340.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":415.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":329.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":389.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":287.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES F/E/NL.6-1","code_information":[{"code":"11441","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":194.87,"maximum":352.8,"gross_charge":360,"discounted_cash":239.76,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.12,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":294.12,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":294.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":249.84,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":194.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":230.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":230.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":230.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":322.2,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":270,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":268.92,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":306,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":352.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":240.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":282.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":209.38,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES F/E/NL.6-1","code_information":[{"code":"11441","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":85.44,"maximum":352.8,"gross_charge":360,"discounted_cash":239.76,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.12,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":294.12,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":294.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":283.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":220.97,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":260.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":260.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":260.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":322.2,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":270,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":289.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":306,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":352.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":280.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":330.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":244.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":93.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":93.14,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":93.14,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":93.14,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":93.14,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":93.14,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":93.14,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":93.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":93.14,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES F/E/N .6-1","code_information":[{"code":"11441","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":219.23,"maximum":396.9,"gross_charge":405,"discounted_cash":269.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":219.23,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":303.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":302.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":344.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":396.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":270.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":317.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":235.55,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LES F/E/N .6-1","code_information":[{"code":"11441","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":85.44,"maximum":396.9,"gross_charge":405,"discounted_cash":269.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":318.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":248.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":292.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":292.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":292.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":303.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":325.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":344.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":396.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":315.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":371.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES F/E/NL 1.1-2","code_information":[{"code":"11442","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":423.84,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":423.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":584.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":522.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":613.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":455.4,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES F/E/NL 1.1-2","code_information":[{"code":"11442","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":91.85,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":480.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":629.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":609.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":718.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":531.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES F/E/N1.1-2","code_information":[{"code":"11442","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":121.26,"maximum":219.52,"gross_charge":224,"discounted_cash":149.19,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":183.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":183.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":183.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":155.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":121.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":143.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":143.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":143.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":200.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":167.33,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":219.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":149.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":175.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":130.28,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES F/E/N1.1-2","code_information":[{"code":"11442","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":57.95,"maximum":219.52,"gross_charge":224,"discounted_cash":149.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":183.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":183.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":183.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":137.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":161.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":161.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":161.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":200.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":180.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":219.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":174.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":205.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":152.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES F/E/N1.1-2","code_information":[{"code":"11442","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":214.36,"maximum":388.08,"gross_charge":396,"discounted_cash":263.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":323.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":323.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":274.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":214.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":253.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":253.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":253.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.42,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":354.42,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":297,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":295.82,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":336.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":388.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":264.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":310.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":230.32,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES F/E/N1.1-2","code_information":[{"code":"11442","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":91.85,"maximum":388.08,"gross_charge":396,"discounted_cash":263.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":323.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":323.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":311.62,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":243.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":286.31,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":286.31,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":286.31,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.42,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":354.42,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":297,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":318.39,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":336.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":388.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":308.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":363.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":268.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LS F/E/NL1.1-2","code_information":[{"code":"11442","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":403.81,"maximum":731.08,"gross_charge":746,"discounted_cash":496.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":517.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":403.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":559.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":557.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":731.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":497.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":584.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":433.88,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LS F/E/NL1.1-2","code_information":[{"code":"11442","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":91.85,"maximum":731.08,"gross_charge":746,"discounted_cash":496.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":587.03,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":559.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":599.79,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":731.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":580.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":684.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":506.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES F/E/NL 2.1-3","code_information":[{"code":"11443","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":423.84,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":423.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":584.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":522.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":613.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":455.4,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES F/E/NL 2.1-3","code_information":[{"code":"11443","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":113.64,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":480.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":629.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":609.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":718.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":531.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES F/E/N2.1-3","code_information":[{"code":"11443","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":254.96,"maximum":461.58,"gross_charge":471,"discounted_cash":313.69,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":384.81,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":384.81,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":384.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":326.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":254.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":301.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":301.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":301.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":421.55,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":421.55,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":353.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":351.84,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":400.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":461.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":314.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":369.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":273.94,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES F/E/N2.1-3","code_information":[{"code":"11443","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":113.64,"maximum":461.58,"gross_charge":471,"discounted_cash":313.69,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":384.81,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":384.81,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":384.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":370.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":289.1,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":340.54,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":340.54,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":340.54,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":421.55,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":421.55,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":353.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":378.69,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":400.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":461.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":366.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":432.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":319.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":121.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":121.85,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":121.85,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":121.85,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":121.85,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":121.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":121.85,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":121.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":121.85,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LS F/E/NL2.1-3","code_information":[{"code":"11443","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":403.81,"maximum":731.08,"gross_charge":746,"discounted_cash":496.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":517.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":403.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":559.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":557.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":731.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":497.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":584.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":433.88,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LS F/E/NL2.1-3","code_information":[{"code":"11443","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":113.64,"maximum":731.08,"gross_charge":746,"discounted_cash":496.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":587.03,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":559.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":599.79,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":731.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":580.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":684.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":506.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES F/E/NL 3.1-4","code_information":[{"code":"11444","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":341.02,"maximum":617.4,"gross_charge":630,"discounted_cash":419.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":514.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":514.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":514.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":341.02,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":403.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":403.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":403.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":563.85,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":563.85,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":472.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":470.61,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":535.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":617.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":420.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":493.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":366.41,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES F/E/NL 3.1-4","code_information":[{"code":"11444","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":140.98,"maximum":617.4,"gross_charge":630,"discounted_cash":419.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":514.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":514.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":514.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":495.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":386.7,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":455.49,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":455.49,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":455.49,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":563.85,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":563.85,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":472.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":506.52,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":535.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":617.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":490.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":578.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":427.77,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":162.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":162.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":162.99,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":162.99,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":162.99,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":162.99,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":162.99,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":162.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":162.99,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES F/E/N3.1-4","code_information":[{"code":"11444","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":332.9,"maximum":602.7,"gross_charge":615,"discounted_cash":409.59,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":502.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":502.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":502.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":426.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":332.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":393.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":393.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":393.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":550.43,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":550.43,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":461.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":459.41,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":522.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":602.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":410.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":482.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":357.69,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES F/E/N3.1-4","code_information":[{"code":"11444","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":140.98,"maximum":602.7,"gross_charge":615,"discounted_cash":409.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":502.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":502.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":502.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":483.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":377.49,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":444.65,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":444.65,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":444.65,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":550.43,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":550.43,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":461.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":494.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":522.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":602.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":478.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":564.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":417.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":159.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":159.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":159.11,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":159.11,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":159.11,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":159.11,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":159.11,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":159.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":159.11,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LS F/E/NL3.1-4","code_information":[{"code":"11444","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":324.78,"maximum":588,"gross_charge":600,"discounted_cash":399.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":416.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":324.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":384,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":384,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":384,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":537,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":537,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":450,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":448.2,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":510,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":588,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":400.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":470.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":348.96,"methodology":"fee schedule"}]}]},{"description":"RHC EX BEN LS F/E/NL3.1-4","code_information":[{"code":"11444","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":140.98,"maximum":588,"gross_charge":600,"discounted_cash":399.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":472.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":368.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":433.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":433.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":433.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":537,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":537,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":450,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":482.4,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":510,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":588,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":466.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":550.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":407.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":155.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":155.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":155.22,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":155.22,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":155.22,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":155.22,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":155.22,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":155.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":155.22,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES OTH >4.0CM","code_information":[{"code":"11446","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":498.54,"maximum":902.58,"gross_charge":921,"discounted_cash":613.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":752.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":752.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":752.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":498.54,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":589.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":589.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":589.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":824.3,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":824.3,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":690.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":687.99,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":782.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":902.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":614.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":722.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":535.66,"methodology":"fee schedule"}]}]},{"description":"EXC BEN LES OTH >4.0CM","code_information":[{"code":"11446","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":238.27,"maximum":902.58,"gross_charge":921,"discounted_cash":613.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":752.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":752.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":752.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":724.74,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":565.31,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":665.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":665.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":665.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":824.3,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":824.3,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":690.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":740.49,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":782.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":902.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":716.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":845.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":625.36,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":319.56,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":319.56,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":319.56,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":319.56,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":319.56,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":238.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":238.27,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":238.27,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":238.27,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":238.27,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":238.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":238.27,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":238.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":238.27,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES OTH >4.0CM","code_information":[{"code":"11446","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":453.07,"maximum":820.26,"gross_charge":837,"discounted_cash":557.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":683.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":683.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":683.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":580.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":453.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":535.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":535.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":535.68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":749.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":749.12,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":627.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":625.24,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":711.45,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":820.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":558.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":656.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":486.8,"methodology":"fee schedule"}]}]},{"description":"PF EXC BEN LES OTH >4.0CM","code_information":[{"code":"11446","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":216.54,"maximum":820.26,"gross_charge":837,"discounted_cash":557.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":683.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":683.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":683.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":658.64,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":513.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":605.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":605.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":605.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":749.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":749.12,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":627.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":672.95,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":711.45,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":820.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":651.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":768.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":568.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":319.56,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":319.56,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":319.56,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":319.56,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":319.56,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":216.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":216.54,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":216.54,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":216.54,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":216.54,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":216.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":216.54,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":216.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":216.54,"methodology":"fee schedule"}]}]},{"description":"PF EX SKN HID SMP/INT RPR","code_information":[{"code":"11450","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":355.64,"maximum":643.86,"gross_charge":657,"discounted_cash":437.57,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":536.77,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":536.77,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":536.77,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":455.96,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":355.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":420.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":420.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":420.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":588.02,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":588.02,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":492.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":490.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":558.45,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":643.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":438.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":515.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":382.12,"methodology":"fee schedule"}]}]},{"description":"PF EX SKN HID SMP/INT RPR","code_information":[{"code":"11450","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":135.01,"maximum":643.86,"gross_charge":657,"discounted_cash":437.57,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":536.77,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":536.77,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":536.77,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":517,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":403.27,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":475.02,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":475.02,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":475.02,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":588.02,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":588.02,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":492.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":528.23,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":558.45,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":643.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":511.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":603.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":446.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.01,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.01,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.01,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.01,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":169.97,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":169.97,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":169.97,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":169.97,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":169.97,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":169.97,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":169.97,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":169.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":169.97,"methodology":"fee schedule"}]}]},{"description":"REMOVAL SWEAT GLAND LESION","code_information":[{"code":"11451","type":"CPT"}],"standard_charges":[{"minimum":178.58,"maximum":178.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":178.58,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":178.58,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":178.58,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":178.58,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":178.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVAL SWEAT GLAND LESION","code_information":[{"code":"11462","type":"CPT"}],"standard_charges":[{"minimum":129.88,"maximum":129.88,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.88,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.88,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.88,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.88,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF EXC HIDTIS ING CMX RPR","code_information":[{"code":"11463","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":731.84,"maximum":1324.96,"gross_charge":1352,"discounted_cash":900.44,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1104.59,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1104.59,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1104.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":938.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":731.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":865.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":865.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":865.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1210.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1210.04,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1014,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.95,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1149.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1324.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":902.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1060.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":786.33,"methodology":"fee schedule"}]}]},{"description":"PF EXC HIDTIS ING CMX RPR","code_information":[{"code":"11463","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":185.84,"maximum":1324.96,"gross_charge":1352,"discounted_cash":900.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1104.59,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1104.59,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1104.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1063.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":829.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":977.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":977.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":977.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1210.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1210.04,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1014,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1087.01,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1149.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1324.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1051.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1241.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":918.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":185.84,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":185.84,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":185.84,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":185.84,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":185.84,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":349.77,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":349.77,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":349.77,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":349.77,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":349.77,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":349.77,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":349.77,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":349.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":349.77,"methodology":"fee schedule"}]}]},{"description":"REMOVAL SWEAT GLAND LESION","code_information":[{"code":"11470","type":"CPT"}],"standard_charges":[{"minimum":155.51,"maximum":155.51,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.51,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.51,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.51,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.51,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF EXC SKN HIDRAD CPLX BI","code_information":[{"code":"11471","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":966.77,"maximum":1750.28,"gross_charge":1786,"discounted_cash":1189.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1459.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1459.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1459.17,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1239.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":966.77,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1143.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1143.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1143.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1598.47,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1598.47,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1339.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1334.15,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1518.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1750.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1191.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1400.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1038.74,"methodology":"fee schedule"}]}]},{"description":"PF EXC SKN HIDRAD CPLX BI","code_information":[{"code":"11471","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":199.94,"maximum":1750.28,"gross_charge":1786,"discounted_cash":1189.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1459.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1459.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1459.17,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1405.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1096.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1291.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1291.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1291.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1598.47,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1598.47,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1339.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1435.95,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1518.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1750.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1389.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1639.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1212.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.94,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.94,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.94,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.94,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":462.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":462.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":462.04,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":462.04,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":462.04,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":462.04,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":462.04,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":462.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":462.04,"methodology":"fee schedule"}]}]},{"description":"OTHER EAR NOSE MOUTH THROAT AND CRANIAL OR FACIAL DIAGNOSES","code_information":[{"code":"1151","type":"APR-DRG"}],"standard_charges":[{"minimum":10129,"maximum":10129,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":10129,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":10129,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":10129,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":10129,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":10129,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER EAR NOSE MOUTH THROAT AND CRANIAL OR FACIAL DIAGNOSES","code_information":[{"code":"1152","type":"APR-DRG"}],"standard_charges":[{"minimum":14014,"maximum":14014,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":14014,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":14014,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":14014,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":14014,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":14014,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER EAR NOSE MOUTH THROAT AND CRANIAL OR FACIAL DIAGNOSES","code_information":[{"code":"1153","type":"APR-DRG"}],"standard_charges":[{"minimum":21757,"maximum":21757,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":21757,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":21757,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":21757,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":21757,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":21757,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER EAR NOSE MOUTH THROAT AND CRANIAL OR FACIAL DIAGNOSES","code_information":[{"code":"1154","type":"APR-DRG"}],"standard_charges":[{"minimum":38641,"maximum":38641,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":38641,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":38641,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":38641,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":38641,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":38641,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EXC MAL LES T/A/L <=0.5CM","code_information":[{"code":"11600","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":229.52,"maximum":415.52,"gross_charge":424,"discounted_cash":282.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":229.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":316.73,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":415.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":282.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":332.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":246.6,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES T/A/L <=0.5CM","code_information":[{"code":"11600","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":79.47,"maximum":415.52,"gross_charge":424,"discounted_cash":282.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":333.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":260.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":340.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":415.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":329.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":389.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":287.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.47,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.47,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.47,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.47,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.47,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES T/A/L <=.5","code_information":[{"code":"11600","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":177.01,"maximum":320.46,"gross_charge":327,"discounted_cash":217.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":267.16,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":267.16,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":267.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":226.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":177.01,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":209.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":209.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":209.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":292.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":292.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":245.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":244.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":277.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":320.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":218.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":256.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":190.19,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES T/A/L <=.5","code_information":[{"code":"11600","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":79.47,"maximum":320.46,"gross_charge":327,"discounted_cash":217.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":267.16,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":267.16,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":267.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":257.32,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":200.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":236.43,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":236.43,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":236.43,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":292.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":292.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":245.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":262.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":277.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":320.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":254.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":300.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":222.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.47,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.47,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.47,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.47,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.47,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":84.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":84.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":84.6,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":84.6,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":84.6,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":84.6,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":84.6,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":84.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":84.6,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LES T/A/L<=0.5","code_information":[{"code":"11600","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":219.23,"maximum":396.9,"gross_charge":405,"discounted_cash":269.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":219.23,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":303.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":302.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":344.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":396.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":270.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":317.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":235.55,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LES T/A/L<=0.5","code_information":[{"code":"11600","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":79.47,"maximum":396.9,"gross_charge":405,"discounted_cash":269.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":318.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":248.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":292.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":292.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":292.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":303.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":325.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":344.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":396.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":315.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":371.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.47,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.47,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.47,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.47,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.47,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES T/A/L 0.6-1CM","code_information":[{"code":"11601","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":242.51,"maximum":439.04,"gross_charge":448,"discounted_cash":298.37,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":366.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":366.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":366.02,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":310.92,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":242.51,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":286.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":286.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":286.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":400.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":400.96,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":336,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":334.66,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":380.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":439.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":299,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":351.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":260.56,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES T/A/L 0.6-1CM","code_information":[{"code":"11601","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":91,"maximum":439.04,"gross_charge":448,"discounted_cash":298.37,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":366.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":366.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":366.02,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":352.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":274.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":323.91,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":323.91,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":323.91,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":400.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":400.96,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":336,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":360.2,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":380.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":439.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":348.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":411.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":304.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES T/A/L .6-1","code_information":[{"code":"11601","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":219.77,"maximum":397.88,"gross_charge":406,"discounted_cash":270.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":331.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":331.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":331.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.77,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":219.77,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":259.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":259.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":259.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":363.37,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":363.37,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":304.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":303.29,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":345.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":397.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":270.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":318.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":236.13,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES T/A/L .6-1","code_information":[{"code":"11601","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":91,"maximum":397.88,"gross_charge":406,"discounted_cash":270.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":331.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":331.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":331.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":319.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":249.21,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":293.54,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":293.54,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":293.54,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":363.37,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":363.37,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":304.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":326.43,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":345.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":397.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":315.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":372.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":275.68,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":105.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":105.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":105.04,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":105.04,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":105.04,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":105.04,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":105.04,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":105.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":105.04,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LES T/A/L .6-1","code_information":[{"code":"11601","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":230.6,"maximum":417.48,"gross_charge":426,"discounted_cash":283.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":348.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":348.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":295.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":230.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":272.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":272.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":272.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":381.27,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":381.27,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":319.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":318.23,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":362.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":284.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":334.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":247.77,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LES T/A/L .6-1","code_information":[{"code":"11601","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":91,"maximum":417.48,"gross_charge":426,"discounted_cash":283.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":348.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":348.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":335.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":261.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":308,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":308,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":308,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":381.27,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":381.27,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":319.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":342.51,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":362.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":331.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":391.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":289.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":110.21,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":110.21,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":110.21,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":110.21,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":110.21,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":110.21,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":110.21,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":110.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":110.21,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES T/A/L 1.1-2CM","code_information":[{"code":"11602","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":282.56,"maximum":511.56,"gross_charge":522,"discounted_cash":347.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":426.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":426.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":426.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":282.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":334.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":334.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":334.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":467.19,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":467.19,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":391.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":389.94,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":443.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":511.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":348.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":409.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":303.6,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES T/A/L 1.1-2CM","code_information":[{"code":"11602","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":96.98,"maximum":511.56,"gross_charge":522,"discounted_cash":347.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":426.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":426.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":426.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":410.77,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":320.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":377.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":377.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":377.41,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":467.19,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":467.19,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":391.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":419.69,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":443.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":511.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":406.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":479.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":354.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":135.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":135.05,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":135.05,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":135.05,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":135.05,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":135.05,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":135.05,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":135.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":135.05,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES T/A/L1.1-2","code_information":[{"code":"11602","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":241.97,"maximum":438.06,"gross_charge":447,"discounted_cash":297.71,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":365.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":365.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":310.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":241.97,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":286.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":286.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":286.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":400.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":400.07,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":335.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":333.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":379.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":438.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":298.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":350.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":259.98,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES T/A/L1.1-2","code_information":[{"code":"11602","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":96.98,"maximum":438.06,"gross_charge":447,"discounted_cash":297.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":365.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":365.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":351.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":274.37,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":323.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":323.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":323.19,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":400.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":400.07,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":335.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":359.39,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":379.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":438.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":347.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":410.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":303.52,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":115.64,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":115.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":115.64,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":115.64,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":115.64,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":115.64,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":115.64,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":115.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":115.64,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LES T/A/L1.1-2","code_information":[{"code":"11602","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":269.03,"maximum":487.06,"gross_charge":497,"discounted_cash":331.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":406.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":406.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":406.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.92,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":269.03,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":318.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":318.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":318.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":444.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":444.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":372.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":371.26,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":422.45,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":487.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":331.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":389.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":289.06,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LES T/A/L1.1-2","code_information":[{"code":"11602","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":96.98,"maximum":487.06,"gross_charge":497,"discounted_cash":331.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":406.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":406.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":406.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.09,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":305.06,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":359.34,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":359.34,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":359.34,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":444.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":444.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":372.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":399.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":422.45,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":487.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":386.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":456.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":337.47,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":128.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":128.58,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":128.58,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":128.58,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":128.58,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":128.58,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":128.58,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":128.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":128.58,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES T/A/L 2.1-3CM","code_information":[{"code":"11603","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":423.84,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":423.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":584.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":522.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":613.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":455.4,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES T/A/L 2.1-3CM","code_information":[{"code":"11603","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":193.1,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":480.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":629.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":609.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":718.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":531.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.1,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.1,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.1,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES T/A/L2.1-3","code_information":[{"code":"11603","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":289.6,"maximum":524.3,"gross_charge":535,"discounted_cash":356.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":437.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":437.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":371.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":289.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":342.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":342.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":342.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":478.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":478.83,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":401.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":399.65,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":454.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":524.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":357.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":419.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":311.16,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES T/A/L2.1-3","code_information":[{"code":"11603","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":138.41,"maximum":524.3,"gross_charge":535,"discounted_cash":356.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":437.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":437.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":421,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":328.39,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":386.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":386.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":386.81,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":478.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":478.83,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":401.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":430.14,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":454.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":524.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":416.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":491.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":363.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.1,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.1,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.1,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":138.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":138.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":138.41,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":138.41,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":138.41,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":138.41,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":138.41,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":138.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":138.41,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LES T/A/L2.1-3","code_information":[{"code":"11603","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":403.81,"maximum":731.08,"gross_charge":746,"discounted_cash":496.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":517.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":403.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":559.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":557.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":731.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":497.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":584.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":433.88,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LES T/A/L2.1-3","code_information":[{"code":"11603","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":193,"maximum":731.08,"gross_charge":746,"discounted_cash":496.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":587.03,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":559.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":599.79,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":731.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":580.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":684.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":506.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.1,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.1,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.1,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES T/A/L 3.1-4CM","code_information":[{"code":"11604","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":331.82,"maximum":600.74,"gross_charge":613,"discounted_cash":408.26,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":500.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":500.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":500.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":425.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":331.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":392.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":392.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":392.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":548.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":548.64,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":459.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":457.92,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":521.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":600.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":409.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":480.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":356.53,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES T/A/L 3.1-4CM","code_information":[{"code":"11604","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":158.59,"maximum":600.74,"gross_charge":613,"discounted_cash":408.26,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":500.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":500.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":500.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":482.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":376.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":443.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":443.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":443.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":548.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":548.64,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":459.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":492.86,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":521.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":600.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":476.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":562.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":416.23,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":208.48,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":208.48,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":208.48,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":208.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":208.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":158.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":158.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":158.59,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":158.59,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":158.59,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":158.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":158.59,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":158.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":158.59,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES T/A/L3.1-4","code_information":[{"code":"11604","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":285.81,"maximum":517.44,"gross_charge":528,"discounted_cash":351.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":431.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":431.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":431.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":366.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":285.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":337.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":337.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":337.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":472.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":472.56,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":396,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":394.42,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":448.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":517.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":352.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":414.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":307.09,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES T/A/L3.1-4","code_information":[{"code":"11604","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":136.6,"maximum":517.44,"gross_charge":528,"discounted_cash":351.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":431.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":431.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":431.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":415.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":324.09,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":381.75,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":381.75,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":381.75,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":472.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":472.56,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":396,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":424.52,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":448.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":517.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":410.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":484.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":358.52,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":208.48,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":208.48,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":208.48,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":208.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":208.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":136.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":136.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":136.6,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":136.6,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":136.6,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":136.6,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":136.6,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":136.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":136.6,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES T/A/L >4.0","code_information":[{"code":"11606","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":489.34,"maximum":885.92,"gross_charge":904,"discounted_cash":602.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":738.57,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":738.57,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":738.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":627.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":489.34,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":578.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":578.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":578.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":809.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":809.08,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":678,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":675.29,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":768.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":885.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":603.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":708.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":525.77,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES T/A/L >4.0","code_information":[{"code":"11606","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":233.87,"maximum":885.92,"gross_charge":904,"discounted_cash":602.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":738.57,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":738.57,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":738.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":711.36,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":554.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":653.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":653.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":653.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":809.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":809.08,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":678,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":726.82,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":768.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":885.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":703.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":829.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":613.82,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":260.6,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":260.6,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":260.6,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":260.6,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":260.6,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":233.87,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":233.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":233.87,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":233.87,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":233.87,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":233.87,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":233.87,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":233.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":233.87,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES T/A/L >4.0","code_information":[{"code":"11606","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":454.7,"maximum":823.2,"gross_charge":840,"discounted_cash":559.44,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":686.28,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":686.28,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":686.28,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":582.96,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":454.7,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":537.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":537.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":537.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":751.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":751.8,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":630,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":627.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":714,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":823.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":560.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":658.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":488.55,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES T/A/L >4.0","code_information":[{"code":"11606","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":217.31,"maximum":823.2,"gross_charge":840,"discounted_cash":559.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":686.28,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":686.28,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":686.28,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":661,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":515.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":607.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":607.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":607.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":751.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":751.8,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":630,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":675.36,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":714,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":823.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":653.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":771.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":570.36,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":260.6,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":260.6,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":260.6,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":260.6,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":260.6,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":217.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":217.31,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":217.31,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":217.31,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":217.31,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":217.31,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":217.31,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":217.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":217.31,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES S/N/HF <=0.5","code_information":[{"code":"11620","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":423.84,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":423.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":584.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":522.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":613.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":455.4,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES S/N/HF <=0.5","code_information":[{"code":"11620","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":96.98,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":480.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":629.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":609.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":718.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":531.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES S/N/HF<=.5","code_information":[{"code":"11620","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":178.63,"maximum":323.4,"gross_charge":330,"discounted_cash":219.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":269.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":269.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":269.61,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":229.02,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":178.63,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":211.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":211.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":211.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":295.35,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":295.35,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":247.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":246.51,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":280.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":323.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":220.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":258.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":191.93,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES S/N/HF<=.5","code_information":[{"code":"11620","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":85.38,"maximum":323.4,"gross_charge":330,"discounted_cash":219.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":269.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":269.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":269.61,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":259.68,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":202.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":238.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":238.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":238.59,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":295.35,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":295.35,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":247.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":265.32,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":280.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":323.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":256.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":302.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":224.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":85.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":85.38,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":85.38,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":85.38,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":85.38,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":85.38,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":85.38,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":85.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":85.38,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LS S/N/HF<=0.5","code_information":[{"code":"11620","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":403.81,"maximum":731.08,"gross_charge":746,"discounted_cash":496.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":517.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":403.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":559.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":557.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":731.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":497.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":584.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":433.88,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LS S/N/HF<=0.5","code_information":[{"code":"11620","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":96.98,"maximum":731.08,"gross_charge":746,"discounted_cash":496.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":587.03,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":559.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":599.79,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":731.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":580.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":684.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":506.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES S/N/HF .6-1CM","code_information":[{"code":"11621","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":291.77,"maximum":528.22,"gross_charge":539,"discounted_cash":358.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":440.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":440.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":440.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":374.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":291.77,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":344.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":344.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":344.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":482.41,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":482.41,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":404.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":402.64,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":458.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":528.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":359.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":422.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":313.49,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES S/N/HF .6-1CM","code_information":[{"code":"11621","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":139.44,"maximum":528.22,"gross_charge":539,"discounted_cash":358.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":440.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":440.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":440.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":424.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":330.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":389.7,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":389.7,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":389.7,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":482.41,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":482.41,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":404.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":433.36,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":458.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":528.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":419.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":494.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":365.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":139.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":139.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":139.44,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":139.44,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":139.44,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":139.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":139.44,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":139.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":139.44,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES S/N/HF.6-1","code_information":[{"code":"11621","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":214.36,"maximum":388.08,"gross_charge":396,"discounted_cash":263.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":323.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":323.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":274.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":214.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":253.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":253.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":253.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.42,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":354.42,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":297,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":295.82,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":336.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":388.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":264.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":310.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":230.32,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES S/N/HF.6-1","code_information":[{"code":"11621","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":102.45,"maximum":388.08,"gross_charge":396,"discounted_cash":263.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":323.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":323.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":311.62,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":243.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":286.31,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":286.31,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":286.31,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.42,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":354.42,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":297,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":318.39,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":336.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":388.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":308.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":363.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":268.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":102.45,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LES S/N/H .6-1","code_information":[{"code":"11621","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":277.69,"maximum":502.74,"gross_charge":513,"discounted_cash":341.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":419.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":419.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":419.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":356.03,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":277.69,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":328.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":328.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":328.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":459.14,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":459.14,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":384.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":383.22,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":502.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":342.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":402.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":298.37,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LES S/N/H .6-1","code_information":[{"code":"11621","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":132.72,"maximum":502.74,"gross_charge":513,"discounted_cash":341.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":419.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":419.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":419.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":403.68,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":314.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":370.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":370.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":370.9,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":459.14,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":459.14,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":384.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":412.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":502.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":399.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":470.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":348.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":132.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":132.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":132.72,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":132.72,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":132.72,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":132.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":132.72,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":132.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":132.72,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES S/N/H1.1-2","code_information":[{"code":"11622","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":252.25,"maximum":456.68,"gross_charge":466,"discounted_cash":310.36,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":380.73,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":380.73,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":380.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":252.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":298.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":298.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":298.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":417.07,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":349.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":348.11,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":396.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":456.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":311.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":365.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":271.03,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES S/N/H1.1-2","code_information":[{"code":"11622","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":120.56,"maximum":456.68,"gross_charge":466,"discounted_cash":310.36,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":380.73,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":380.73,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":380.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":366.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":286.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":336.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":336.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":336.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":417.07,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":349.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":374.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":396.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":456.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":362.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":427.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":316.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.39,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.39,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.39,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.39,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":120.56,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":120.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":120.56,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":120.56,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":120.56,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":120.56,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":120.56,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":120.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":120.56,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LS S/N/HF1.1-2","code_information":[{"code":"11622","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":403.81,"maximum":731.08,"gross_charge":746,"discounted_cash":496.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":517.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":403.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":559.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":557.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":731.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":497.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":584.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":433.88,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LS S/N/HF1.1-2","code_information":[{"code":"11622","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":191.39,"maximum":731.08,"gross_charge":746,"discounted_cash":496.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":587.03,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":559.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":599.79,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":731.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":580.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":684.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":506.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.39,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.39,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.39,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.39,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES S/N/HF 2.1-3","code_information":[{"code":"11623","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":816.29,"maximum":1477.84,"gross_charge":1508,"discounted_cash":1004.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1232.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1232.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1232.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1046.56,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":816.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":965.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":965.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":965.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1349.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1349.66,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1131,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1126.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1281.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1477.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1006.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1182.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":877.06,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES S/N/HF 2.1-3","code_information":[{"code":"11623","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":210.62,"maximum":1477.84,"gross_charge":1508,"discounted_cash":1004.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1232.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1232.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1232.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1186.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":925.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1090.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1090.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1090.29,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1349.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1349.66,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1131,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1212.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1281.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1477.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1173.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1384.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1023.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.62,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.62,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.62,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.62,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":390.12,"methodology":"fee schedule"}]}]},{"description":"PF EX MAL LES S/N/HF2.1-3","code_information":[{"code":"11623","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":311.79,"maximum":564.48,"gross_charge":576,"discounted_cash":383.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":470.6,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":470.6,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":470.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":399.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":311.79,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":368.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":368.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":368.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":515.52,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":515.52,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":432,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":430.28,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":489.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":564.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":384.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":451.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":335.01,"methodology":"fee schedule"}]}]},{"description":"PF EX MAL LES S/N/HF2.1-3","code_information":[{"code":"11623","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":149.02,"maximum":564.48,"gross_charge":576,"discounted_cash":383.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":470.6,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":470.6,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":470.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":453.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":353.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":416.45,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":416.45,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":416.45,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":515.52,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":515.52,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":432,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":463.11,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":489.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":564.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":448.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":528.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":391.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.62,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.62,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.62,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.62,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":149.02,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":149.02,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":149.02,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":149.02,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":149.02,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":149.02,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":149.02,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":149.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":149.02,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LS S/N/HF2.1-3","code_information":[{"code":"11623","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":777.31,"maximum":1407.28,"gross_charge":1436,"discounted_cash":956.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1173.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1173.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1173.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":996.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":777.31,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":919.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":919.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":919.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1285.22,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1285.22,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1077,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1072.7,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1220.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1407.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":958.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1125.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":835.18,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LS S/N/HF2.1-3","code_information":[{"code":"11623","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":210.62,"maximum":1407.28,"gross_charge":1436,"discounted_cash":956.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1173.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1173.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1173.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1129.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":881.42,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1038.23,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1038.23,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1038.23,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1285.22,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1285.22,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1077,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1154.55,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1220.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1407.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1117.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1318.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":975.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.62,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.62,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.62,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.62,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":371.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":371.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":371.5,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":371.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":371.5,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":371.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":371.5,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":371.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":371.5,"methodology":"fee schedule"}]}]},{"description":"PF EX MAL LES S/N/HF3.1-4","code_information":[{"code":"11624","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":351.85,"maximum":637,"gross_charge":650,"discounted_cash":432.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":531.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":531.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":531.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":451.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":351.85,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":416,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":416,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":416,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":581.75,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":581.75,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":487.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":485.55,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":552.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":637,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":433.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":509.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":378.04,"methodology":"fee schedule"}]}]},{"description":"PF EX MAL LES S/N/HF3.1-4","code_information":[{"code":"11624","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":168.16,"maximum":637,"gross_charge":650,"discounted_cash":432.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":531.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":531.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":531.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":511.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":398.97,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":469.95,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":469.95,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":469.95,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":581.75,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":581.75,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":487.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":522.6,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":552.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":637,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":505.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":596.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":441.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":240.52,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":240.52,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":240.52,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":240.52,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":240.52,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"}]}]},{"description":"RHC EXC MAL LES SNHF3.1-4","code_information":[{"code":"11624","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":351.85,"maximum":637,"gross_charge":650,"discounted_cash":432.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":531.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":531.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":531.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":451.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":351.85,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":416,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":416,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":416,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":581.75,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":581.75,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":487.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":485.55,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":552.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":637,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":433.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":509.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":378.04,"methodology":"fee schedule"}]}]},{"description":"RHC EXC MAL LES SNHF3.1-4","code_information":[{"code":"11624","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":168.16,"maximum":637,"gross_charge":650,"discounted_cash":432.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":531.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":531.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":531.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":511.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":398.97,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":469.95,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":469.95,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":469.95,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":581.75,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":581.75,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":487.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":522.6,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":552.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":637,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":505.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":596.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":441.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":240.52,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":240.52,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":240.52,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":240.52,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":240.52,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":168.16,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES S/N/HF >4.0CM","code_information":[{"code":"11626","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":1570.86,"maximum":2843.96,"gross_charge":2902,"discounted_cash":1932.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2370.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":2370.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":2370.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2013.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1570.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1857.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1857.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1857.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2597.29,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":2597.29,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2176.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":2167.8,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":2466.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2843.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1936.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":2275.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1687.81,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES S/N/HF >4.0CM","code_information":[{"code":"11626","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":309.31,"maximum":2843.96,"gross_charge":2902,"discounted_cash":1932.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2370.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":2370.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":2370.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2283.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1781.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":2098.15,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":2098.15,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":2098.15,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2597.29,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":2597.29,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2176.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":2333.21,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":2466.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2843.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":2257.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":2664.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1970.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.31,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.31,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.31,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.31,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":750.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":750.75,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":750.75,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":750.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":750.75,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":750.75,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":750.75,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":750.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":750.75,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES S/N/HF>4.0","code_information":[{"code":"11626","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":427.09,"maximum":773.22,"gross_charge":789,"discounted_cash":525.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":644.62,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":644.62,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":644.62,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":547.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":427.09,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":504.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":504.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":504.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":706.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":706.16,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":591.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":589.39,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":670.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":773.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":526.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":618.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":458.89,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES S/N/HF>4.0","code_information":[{"code":"11626","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":204.12,"maximum":773.22,"gross_charge":789,"discounted_cash":525.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":644.62,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":644.62,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":644.62,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":620.87,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":484.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":570.45,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":570.45,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":570.45,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":706.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":706.16,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":591.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":634.36,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":670.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":773.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":613.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":724.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":535.74,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.31,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.31,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.31,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.31,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":204.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":204.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":204.12,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":204.12,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":204.12,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":204.12,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":204.12,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":204.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":204.12,"methodology":"fee schedule"}]}]},{"description":"RHC EXC MAL S/N/HF >4.0CM","code_information":[{"code":"11626","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":1495.62,"maximum":2707.74,"gross_charge":2763,"discounted_cash":1840.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2257.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":2257.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":2257.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1917.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1495.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1768.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1768.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1768.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2472.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":2472.89,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2072.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":2063.97,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2707.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1844.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":2166.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1606.97,"methodology":"fee schedule"}]}]},{"description":"RHC EXC MAL S/N/HF >4.0CM","code_information":[{"code":"11626","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":309.31,"maximum":2707.74,"gross_charge":2763,"discounted_cash":1840.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2257.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":2257.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":2257.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2174.21,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1695.93,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1997.65,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1997.65,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1997.65,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2472.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":2472.89,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2072.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":2221.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2707.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":2149.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":2536.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1876.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.31,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.31,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.31,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.31,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":714.79,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":714.79,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":714.79,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":714.79,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":714.79,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":714.79,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":714.79,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":714.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":714.79,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES F/E/NL <=0.5","code_information":[{"code":"11640","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":423.84,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":423.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":584.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":522.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":613.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":455.4,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES F/E/NL <=0.5","code_information":[{"code":"11640","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":145.25,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":480.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":629.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":609.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":718.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":531.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES F/E/N<=0.5","code_information":[{"code":"11640","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":184.59,"maximum":334.18,"gross_charge":341,"discounted_cash":227.11,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":278.6,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":278.6,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":278.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":236.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":184.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":218.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":218.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":218.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":305.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":305.2,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":255.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":254.73,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":289.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":334.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":227.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":267.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":198.33,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES F/E/N<=0.5","code_information":[{"code":"11640","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":88.22,"maximum":334.18,"gross_charge":341,"discounted_cash":227.11,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":278.6,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":278.6,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":278.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":268.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":209.31,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":246.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":246.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":246.55,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":305.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":305.2,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":255.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":274.17,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":289.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":334.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":265.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":313.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":231.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":88.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":88.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":88.22,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":88.22,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":88.22,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":88.22,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":88.22,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":88.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":88.22,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LES F/E/N<=0.5","code_information":[{"code":"11640","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":403.81,"maximum":731.08,"gross_charge":746,"discounted_cash":496.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":517.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":403.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":559.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":557.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":731.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":497.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":584.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":433.88,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LES F/E/N<=0.5","code_information":[{"code":"11640","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":145.25,"maximum":731.08,"gross_charge":746,"discounted_cash":496.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":587.03,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":559.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":599.79,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":731.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":580.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":684.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":506.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES F/E/NL 0.6-1","code_information":[{"code":"11641","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":423.84,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":423.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":501.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":584.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":522.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":613.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":455.4,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES F/E/NL 0.6-1","code_information":[{"code":"11641","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":193.53,"maximum":767.34,"gross_charge":783,"discounted_cash":521.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":639.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":480.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":566.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":700.79,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":629.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":609.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":718.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":531.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":202.57,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES F/E/N .6-1","code_information":[{"code":"11641","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":230.06,"maximum":416.5,"gross_charge":425,"discounted_cash":283.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":347.23,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":347.23,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":347.23,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":230.06,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":272,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":272,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":272,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":380.38,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":380.38,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":317.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":361.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":416.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":283.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":333.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":247.18,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES F/E/N .6-1","code_information":[{"code":"11641","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":109.95,"maximum":416.5,"gross_charge":425,"discounted_cash":283.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":347.23,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":347.23,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":347.23,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":334.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":260.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":307.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":307.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":307.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":380.38,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":380.38,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":341.7,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":361.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":416.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":330.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":390.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":288.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":109.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":109.95,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":109.95,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":109.95,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":109.95,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":109.95,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":109.95,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":109.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":109.95,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LES F/E/N0.6-1","code_information":[{"code":"11641","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":403.81,"maximum":731.08,"gross_charge":746,"discounted_cash":496.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":517.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":403.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":477.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":559.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":557.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":731.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":497.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":584.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":433.88,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LES F/E/N0.6-1","code_information":[{"code":"11641","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":193,"maximum":731.08,"gross_charge":746,"discounted_cash":496.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":609.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":587.03,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":539.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":667.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":559.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":599.79,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":731.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":580.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":684.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":506.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":193,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES F/E/NL 1.1-2","code_information":[{"code":"11642","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":441.71,"maximum":799.68,"gross_charge":816,"discounted_cash":543.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":666.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":666.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":666.68,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":566.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":441.71,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":522.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":522.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":522.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":730.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":730.32,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":612,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":609.56,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":693.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":799.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":544.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":639.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":474.59,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES F/E/NL 1.1-2","code_information":[{"code":"11642","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":211.1,"maximum":799.68,"gross_charge":816,"discounted_cash":543.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":666.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":666.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":666.68,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":642.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":500.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":589.97,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":589.97,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":589.97,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":730.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":730.32,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":612,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":656.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":693.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":799.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":634.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":749.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":554.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":211.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":211.1,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":211.1,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":211.1,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":211.1,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":211.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":211.1,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":211.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":211.1,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES F/E/N1.1-2","code_information":[{"code":"11642","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":270.11,"maximum":489.02,"gross_charge":499,"discounted_cash":332.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":407.69,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":407.69,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":407.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":270.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":319.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":319.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":319.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":446.61,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":446.61,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":374.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":372.76,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":424.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":489.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":333.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":391.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":290.22,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES F/E/N1.1-2","code_information":[{"code":"11642","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":129.1,"maximum":489.02,"gross_charge":499,"discounted_cash":332.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":407.69,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":407.69,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":407.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":392.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":306.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":360.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":360.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":360.78,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":446.61,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":446.61,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":374.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":401.2,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":424.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":489.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":388.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":458.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":338.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LS F/E/NL1.1-2","code_information":[{"code":"11642","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":421.14,"maximum":762.44,"gross_charge":778,"discounted_cash":518.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":635.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":635.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":635.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":539.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":421.14,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":497.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":497.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":497.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":696.31,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":696.31,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":583.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":581.17,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":661.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":762.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":519.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":610.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":452.49,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LS F/E/NL1.1-2","code_information":[{"code":"11642","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":201.27,"maximum":762.44,"gross_charge":778,"discounted_cash":518.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":635.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":635.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":635.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":612.21,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":477.54,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":562.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":562.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":562.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":696.31,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":696.31,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":583.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":625.52,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":661.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":762.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":605.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":714.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":528.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":201.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":201.27,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":201.27,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":201.27,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":201.27,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":201.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":201.27,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":201.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":201.27,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES F/E/NL 2.1-3","code_information":[{"code":"11643","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":534.27,"maximum":967.26,"gross_charge":987,"discounted_cash":657.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":806.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":806.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":806.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":684.98,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":534.27,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":631.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":631.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":631.68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":883.37,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":883.37,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":740.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":737.29,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":838.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":967.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":658.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":773.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":574.04,"methodology":"fee schedule"}]}]},{"description":"EXC MAL LES F/E/NL 2.1-3","code_information":[{"code":"11643","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":255.34,"maximum":967.26,"gross_charge":987,"discounted_cash":657.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":806.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":806.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":806.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":776.68,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":605.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":713.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":713.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":713.61,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":883.37,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":883.37,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":740.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":793.55,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":838.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":967.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":767.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":906.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":670.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":255.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":255.34,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":255.34,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":255.34,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":255.34,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":255.34,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":255.34,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":255.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":255.34,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES F/E/N2.1-3","code_information":[{"code":"11643","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":337.78,"maximum":611.52,"gross_charge":624,"discounted_cash":415.59,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":509.81,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":509.81,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":509.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":433.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":337.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":399.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":399.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":399.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":558.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":558.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":468,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":466.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":530.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":611.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":416.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":489.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":362.92,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES F/E/N2.1-3","code_information":[{"code":"11643","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":161.43,"maximum":611.52,"gross_charge":624,"discounted_cash":415.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":509.81,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":509.81,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":509.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":491.03,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":383.02,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":451.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":451.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":451.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":558.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":558.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":468,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":501.7,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":530.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":611.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":485.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":572.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LS F/E/NL2.1-3","code_information":[{"code":"11643","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":508.83,"maximum":921.2,"gross_charge":940,"discounted_cash":626.04,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":767.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":767.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":767.98,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":652.36,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":508.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":601.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":601.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":601.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":841.3,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":841.3,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":705,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":702.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":799,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":921.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":627.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":737.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":546.71,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LS F/E/NL2.1-3","code_information":[{"code":"11643","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":243.18,"maximum":921.2,"gross_charge":940,"discounted_cash":626.04,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":767.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":767.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":767.98,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":739.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":576.98,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":679.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":679.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":679.62,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":841.3,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":841.3,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":705,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":755.76,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":799,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":921.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":731.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":862.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":638.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":243.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":243.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":243.18,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":243.18,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":243.18,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":243.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":243.18,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":243.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":243.18,"methodology":"fee schedule"}]}]},{"description":"PF EX MAL LES F/E/NL3.1-4","code_information":[{"code":"11644","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":417.35,"maximum":755.58,"gross_charge":771,"discounted_cash":513.49,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":629.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":629.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":629.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":535.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":417.35,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":493.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":493.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":493.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":690.05,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":690.05,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":578.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":575.94,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":655.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":755.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":514.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":604.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":448.42,"methodology":"fee schedule"}]}]},{"description":"PF EX MAL LES F/E/NL3.1-4","code_information":[{"code":"11644","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":199.46,"maximum":755.58,"gross_charge":771,"discounted_cash":513.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":629.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":629.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":629.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":606.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":473.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":557.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":557.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":557.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":690.05,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":690.05,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":578.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":619.89,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":655.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":755.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":599.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":707.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":523.51,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":320.42,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":320.42,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":320.42,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":320.42,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":320.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LES FENL 3.1-4","code_information":[{"code":"11644","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":417.35,"maximum":755.58,"gross_charge":771,"discounted_cash":513.49,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":629.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":629.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":629.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":535.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":417.35,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":493.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":493.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":493.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":690.05,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":690.05,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":578.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":575.94,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":655.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":755.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":514.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":604.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":448.42,"methodology":"fee schedule"}]}]},{"description":"RHC EX MAL LES FENL 3.1-4","code_information":[{"code":"11644","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":199.46,"maximum":755.58,"gross_charge":771,"discounted_cash":513.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":629.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":629.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":629.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":606.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":473.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":557.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":557.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":557.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":690.05,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":690.05,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":578.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":619.89,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":655.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":755.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":599.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":707.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":523.51,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":320.42,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":320.42,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":320.42,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":320.42,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":320.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":199.46,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES F/E/NL>4.0","code_information":[{"code":"11646","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":575.41,"maximum":1041.74,"gross_charge":1063,"discounted_cash":707.96,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":868.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":868.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":868.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":737.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":575.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":680.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":680.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":680.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":951.39,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":951.39,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":797.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":794.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":903.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1041.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":709.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":833.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":618.25,"methodology":"fee schedule"}]}]},{"description":"PF EXC MAL LES F/E/NL>4.0","code_information":[{"code":"11646","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":275,"maximum":1041.74,"gross_charge":1063,"discounted_cash":707.96,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":868.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":868.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":868.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":836.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":652.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":768.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":768.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":768.55,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":951.39,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":951.39,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":797.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":854.66,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":903.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1041.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":827.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":975.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":721.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":406.72,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":406.72,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":406.72,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":406.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":406.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"}]}]},{"description":"RHC EXC MAL LES FENL >4.0","code_information":[{"code":"11646","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":575.41,"maximum":1041.74,"gross_charge":1063,"discounted_cash":707.96,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":868.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":868.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":868.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":737.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":575.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":680.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":680.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":680.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":951.39,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":951.39,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":797.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":794.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":903.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1041.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":709.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":833.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":618.25,"methodology":"fee schedule"}]}]},{"description":"RHC EXC MAL LES FENL >4.0","code_information":[{"code":"11646","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":275,"maximum":1041.74,"gross_charge":1063,"discounted_cash":707.96,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":868.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":868.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":868.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":836.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":652.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":768.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":768.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":768.55,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":951.39,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":951.39,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":797.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":854.66,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":903.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1041.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":827.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":975.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":721.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":406.72,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":406.72,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":406.72,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":406.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":406.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":275,"methodology":"fee schedule"}]}]},{"description":"RHC TRIM NAIL NONDYSTROPH","code_information":[{"code":"11719","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":33.57,"maximum":60.76,"gross_charge":62,"discounted_cash":41.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.66,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":50.66,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":50.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.03,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":33.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":39.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":39.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":39.68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.49,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":55.49,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":46.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":46.32,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":52.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":41.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":48.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":36.06,"methodology":"fee schedule"}]}]},{"description":"RHC TRIM NAIL NONDYSTROPH","code_information":[{"code":"11719","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":16.04,"maximum":60.76,"gross_charge":62,"discounted_cash":41.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.66,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":50.66,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":50.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.79,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":38.06,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":44.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":44.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":44.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.49,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":55.49,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":46.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":49.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":52.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":48.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":56.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":42.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"}]}]},{"description":"RHC DEBRIDE NAIL UP TO 5","code_information":[{"code":"11720","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":62.8,"maximum":113.68,"gross_charge":116,"discounted_cash":77.26,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":94.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":94.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.51,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":62.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":74.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":74.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":74.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":103.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":87,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":86.66,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":98.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":113.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":77.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":90.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":67.47,"methodology":"fee schedule"}]}]},{"description":"RHC DEBRIDE NAIL UP TO 5","code_information":[{"code":"11720","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":22.64,"maximum":113.68,"gross_charge":116,"discounted_cash":77.26,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":94.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":94.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":71.21,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":83.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":83.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":83.87,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":103.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":87,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":93.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":98.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":113.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":106.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":78.77,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.64,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.64,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.64,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.64,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.64,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"}]}]},{"description":"RHC DEBRIDE NAIL 6 OR >","code_information":[{"code":"11721","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":59.01,"maximum":106.82,"gross_charge":109,"discounted_cash":72.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":89.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":89.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":59.01,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":69.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":69.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":69.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":97.56,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":81.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":81.43,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":92.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":106.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":72.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":85.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":63.4,"methodology":"fee schedule"}]}]},{"description":"RHC DEBRIDE NAIL 6 OR >","code_information":[{"code":"11721","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":28.2,"maximum":106.82,"gross_charge":109,"discounted_cash":72.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":89.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":89.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":66.91,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":78.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":78.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":78.81,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":97.56,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":81.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":87.64,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":92.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":106.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":84.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":100.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":74.02,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.02,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.02,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.02,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.02,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":28.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":28.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":28.2,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":28.2,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":28.2,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":28.2,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":28.2,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":28.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":28.2,"methodology":"fee schedule"}]}]},{"description":"PF AVULSN NAIL PLAT SNGL","code_information":[{"code":"11730","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":55.22,"maximum":99.96,"gross_charge":102,"discounted_cash":67.94,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":83.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":83.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.79,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":55.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":65.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":65.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":65.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.29,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":91.29,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":76.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":76.2,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":86.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":99.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":68.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":79.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":59.33,"methodology":"fee schedule"}]}]},{"description":"PF AVULSN NAIL PLAT SNGL","code_information":[{"code":"11730","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":26.39,"maximum":99.96,"gross_charge":102,"discounted_cash":67.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":83.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":83.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":62.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":73.75,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":73.75,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":73.75,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.29,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":91.29,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":76.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":82.01,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":86.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":99.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":79.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":93.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":69.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"}]}]},{"description":"RHC AVUL NAIL PLAT SINGLE","code_information":[{"code":"11730","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":58.47,"maximum":105.84,"gross_charge":108,"discounted_cash":71.93,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.24,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":88.24,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":88.24,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.96,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":58.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":69.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":69.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":69.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":96.66,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":81,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":80.68,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":105.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":72.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":84.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":62.82,"methodology":"fee schedule"}]}]},{"description":"RHC AVUL NAIL PLAT SINGLE","code_information":[{"code":"11730","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":27.94,"maximum":105.84,"gross_charge":108,"discounted_cash":71.93,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.24,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":88.24,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":88.24,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":84.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":66.3,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":78.09,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":78.09,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":78.09,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":96.66,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":81,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":86.84,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":105.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":84.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":99.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":27.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":27.94,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":27.94,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":27.94,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":27.94,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":27.94,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":27.94,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":27.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":27.94,"methodology":"fee schedule"}]}]},{"description":"PF AVLSN NAIL PLAT EA ADD","code_information":[{"code":"11732","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":25.99,"maximum":47.04,"gross_charge":48,"discounted_cash":31.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":39.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":39.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.32,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":25.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":30.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":30.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":30.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":42.96,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":35.86,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":40.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":32.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":37.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":27.92,"methodology":"fee schedule"}]}]},{"description":"PF AVLSN NAIL PLAT EA ADD","code_information":[{"code":"11732","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":12.42,"maximum":47.04,"gross_charge":48,"discounted_cash":31.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":39.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":39.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":29.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":34.71,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":34.71,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":34.71,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":42.96,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":38.6,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":40.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":37.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":44.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":32.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.09,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.09,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.09,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.09,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":12.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":12.42,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":12.42,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":12.42,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":12.42,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":12.42,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":12.42,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":12.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":12.42,"methodology":"fee schedule"}]}]},{"description":"RHC AVUL NAIL PLAT EA ADD","code_information":[{"code":"11732","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":55.22,"maximum":99.96,"gross_charge":102,"discounted_cash":67.94,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":83.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":83.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.79,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":55.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":65.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":65.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":65.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.29,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":91.29,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":76.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":76.2,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":86.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":99.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":68.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":79.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":59.33,"methodology":"fee schedule"}]}]},{"description":"RHC AVUL NAIL PLAT EA ADD","code_information":[{"code":"11732","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":17.09,"maximum":99.96,"gross_charge":102,"discounted_cash":67.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":83.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":83.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":62.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":73.75,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":73.75,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":73.75,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.29,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":91.29,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":76.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":82.01,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":86.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":99.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":79.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":93.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":69.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.09,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.09,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.09,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.09,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":26.39,"methodology":"fee schedule"}]}]},{"description":"RHC EVAC HEMATOM SUBUNGAL","code_information":[{"code":"11740","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":59.55,"maximum":107.8,"gross_charge":110,"discounted_cash":73.26,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.87,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":89.87,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":89.87,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":59.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":70.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":70.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":70.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.45,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":98.45,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":82.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":82.17,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":93.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":107.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":73.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":86.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":63.98,"methodology":"fee schedule"}]}]},{"description":"RHC EVAC HEMATOM SUBUNGAL","code_information":[{"code":"11740","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":22.48,"maximum":107.8,"gross_charge":110,"discounted_cash":73.26,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.87,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":89.87,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":89.87,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.56,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":67.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":79.53,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":79.53,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":79.53,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.45,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":98.45,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":82.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":88.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":93.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":107.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":85.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":100.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":74.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.48,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.48,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.48,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":28.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":28.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":28.46,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":28.46,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":28.46,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":28.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":28.46,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":28.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":28.46,"methodology":"fee schedule"}]}]},{"description":"PF EXC NAIL AND MATRIX","code_information":[{"code":"11750","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":210.57,"maximum":381.22,"gross_charge":389,"discounted_cash":259.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":269.97,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":210.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":248.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":248.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":248.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":348.16,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":291.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":290.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":330.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":381.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":259.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":305.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":226.25,"methodology":"fee schedule"}]}]},{"description":"PF EXC NAIL AND MATRIX","code_information":[{"code":"11750","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":96.98,"maximum":381.22,"gross_charge":389,"discounted_cash":259.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":306.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":238.77,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":281.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":281.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":281.25,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":348.16,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":291.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":312.76,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":330.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":381.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":302.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":357.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":264.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"}]}]},{"description":"RHC EXC NAILAND MATRIX","code_information":[{"code":"11750","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":210.57,"maximum":381.22,"gross_charge":389,"discounted_cash":259.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":269.97,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":210.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":248.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":248.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":248.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":348.16,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":291.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":290.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":330.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":381.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":259.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":305.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":226.25,"methodology":"fee schedule"}]}]},{"description":"RHC EXC NAILAND MATRIX","code_information":[{"code":"11750","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":96.98,"maximum":381.22,"gross_charge":389,"discounted_cash":259.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":306.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":238.77,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":281.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":281.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":281.25,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":348.16,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":291.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":312.76,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":330.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":381.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":302.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":357.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":264.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"}]}]},{"description":"BIOPSY NAIL UNIT","code_information":[{"code":"11755","type":"CPT"}],"standard_charges":[{"minimum":70.92,"maximum":70.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":70.92,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":70.92,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":70.92,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":70.92,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":70.92,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF REPAIR NAIL BED","code_information":[{"code":"11760","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":168.35,"maximum":304.78,"gross_charge":311,"discounted_cash":207.13,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":254.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":254.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":254.09,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.84,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":168.35,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":199.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":199.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":199.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":278.35,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":278.35,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":233.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":232.32,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":264.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":304.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":207.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":243.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":180.88,"methodology":"fee schedule"}]}]},{"description":"PF REPAIR NAIL BED","code_information":[{"code":"11760","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":80.46,"maximum":304.78,"gross_charge":311,"discounted_cash":207.13,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":254.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":254.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":254.09,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":190.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":224.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":224.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":224.86,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":278.35,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":278.35,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":233.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":250.05,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":264.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":304.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":241.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":285.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":211.17,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.35,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.35,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.35,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.35,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.35,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"}]}]},{"description":"RECONSTRUCTION OF NAIL BED","code_information":[{"code":"11762","type":"CPT"}],"standard_charges":[{"minimum":187.13,"maximum":187.13,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":187.13,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":187.13,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":187.13,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":187.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":187.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"EXCISION OF NAIL FOLD TOE","code_information":[{"code":"11765","type":"CPT"}],"standard_charges":[{"minimum":60.67,"maximum":60.67,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.67,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.67,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.67,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF EXC PILONIDAL CYST SMP","code_information":[{"code":"11770","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":264.16,"maximum":478.24,"gross_charge":488,"discounted_cash":325.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":398.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":398.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":398.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":338.68,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":264.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":312.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":312.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":312.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":436.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":436.76,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":366,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":364.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":414.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":478.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":325.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":382.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":283.83,"methodology":"fee schedule"}]}]},{"description":"PF EXC PILONIDAL CYST SMP","code_information":[{"code":"11770","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":111.5,"maximum":478.24,"gross_charge":488,"discounted_cash":325.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":398.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":398.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":398.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":384.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":299.54,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":352.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":352.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":352.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":436.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":436.76,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":366,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":392.36,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":414.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":478.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":379.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":447.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":331.36,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.5,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.5,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":126.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":126.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":126.25,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":126.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":126.25,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":126.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":126.25,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":126.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":126.25,"methodology":"fee schedule"}]}]},{"description":"PF EXC PILONID CYST EXTEN","code_information":[{"code":"11771","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":620.33,"maximum":1123.08,"gross_charge":1146,"discounted_cash":763.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":936.29,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":936.29,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":936.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":795.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":620.33,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":733.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":733.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":733.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1025.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1025.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":859.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":856.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":974.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1123.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":764.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":898.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":666.52,"methodology":"fee schedule"}]}]},{"description":"PF EXC PILONID CYST EXTEN","code_information":[{"code":"11771","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":296.48,"maximum":1123.08,"gross_charge":1146,"discounted_cash":763.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":936.29,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":936.29,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":936.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":901.79,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":703.42,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":828.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":828.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":828.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1025.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1025.67,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":859.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":921.39,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":974.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1123.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":891.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1052.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":778.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":338.78,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":338.78,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":338.78,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":338.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":338.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":296.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":296.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":296.48,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":296.48,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":296.48,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":296.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":296.48,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":296.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":296.48,"methodology":"fee schedule"}]}]},{"description":"PF EXC PILO CYT/SNS COMPL","code_information":[{"code":"11772","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":838.48,"maximum":1518.02,"gross_charge":1549,"discounted_cash":1031.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1265.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1265.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1265.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1075.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":838.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":991.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":991.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":991.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1386.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1386.36,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1161.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1157.11,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1316.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1518.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1033.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1214.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":900.9,"methodology":"fee schedule"}]}]},{"description":"PF EXC PILO CYT/SNS COMPL","code_information":[{"code":"11772","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":400.73,"maximum":1518.02,"gross_charge":1549,"discounted_cash":1031.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1265.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1265.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1265.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1218.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":950.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1119.93,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1119.93,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1119.93,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1386.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1386.36,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1161.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1245.4,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1316.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1518.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1205.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1421.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1051.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":612.6,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":612.6,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":612.6,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":612.6,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":612.6,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"}]}]},{"description":"INJECT SKIN LESIONS </W 7","code_information":[{"code":"11900","type":"CPT"}],"standard_charges":[{"minimum":24.35,"maximum":24.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.35,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.35,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.35,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.35,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.35,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"INJECT SKIN LESIONS >7","code_information":[{"code":"11901","type":"CPT"}],"standard_charges":[{"minimum":35.03,"maximum":35.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.03,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.03,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.03,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.03,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.03,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"INSERT TISSUE EXPANDER(S)","code_information":[{"code":"11960","type":"CPT"}],"standard_charges":[{"minimum":416.11,"maximum":416.11,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":416.11,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":416.11,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":416.11,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":416.11,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":416.11,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REPLACE TISSUE EXPANDER","code_information":[{"code":"11970","type":"CPT"}],"standard_charges":[{"minimum":443.03,"maximum":443.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":443.03,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":443.03,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":443.03,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":443.03,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":443.03,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE TISSUE EXPANDER(S)","code_information":[{"code":"11971","type":"CPT"}],"standard_charges":[{"minimum":188.84,"maximum":188.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":188.84,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":188.84,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":188.84,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":188.84,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":188.84,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE CONTRACEPTIVE CAPSULE","code_information":[{"code":"11976","type":"CPT"}],"standard_charges":[{"minimum":114.37,"maximum":114.37,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.37,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.37,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.37,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.37,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"IMPLANT HORMONE PELLET(S)","code_information":[{"code":"11980","type":"CPT"}],"standard_charges":[{"minimum":88.44,"maximum":88.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.44,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.44,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.44,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.44,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF INS NONBI DRUG IMP RT","code_information":[{"code":"11981","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":82.82,"maximum":149.94,"gross_charge":153,"discounted_cash":101.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.94,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":136.94,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":114.3,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":130.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":149.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":119.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":88.99,"methodology":"fee schedule"}]}]},{"description":"PF INS NONBI DRUG IMP RT","code_information":[{"code":"11981","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":39.59,"maximum":153,"gross_charge":153,"discounted_cash":101.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":93.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":110.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":110.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":110.62,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.94,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":136.94,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":123.02,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":130.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":149.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":119.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":140.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":103.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"}]}]},{"description":"RHC INS NONBI DRG DEL IMP","code_information":[{"code":"11981","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":171.06,"maximum":309.68,"gross_charge":316,"discounted_cash":210.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":258.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":258.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":258.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":171.06,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":202.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":202.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":202.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":282.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":282.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":237,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":236.06,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":268.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":309.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":210.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":247.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":183.79,"methodology":"fee schedule"}]}]},{"description":"RHC INS NONBI DRG DEL IMP","code_information":[{"code":"11981","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":81.75,"maximum":309.68,"gross_charge":316,"discounted_cash":210.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":258.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":258.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":258.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":248.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":193.97,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":228.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":228.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":228.47,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":282.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":282.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":237,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":254.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":268.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":309.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":245.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":290.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":214.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":167.09,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":167.09,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":167.09,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":167.09,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":167.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":81.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":81.75,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":81.75,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":81.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":81.75,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":81.75,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":81.75,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":81.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":81.75,"methodology":"fee schedule"}]}]},{"description":"PF REM NONBIO DRG DEL IMP","code_information":[{"code":"11982","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":96.9,"maximum":175.42,"gross_charge":179,"discounted_cash":119.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":146.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":146.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.23,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":114.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":114.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":114.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":160.21,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":160.21,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":134.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":133.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":152.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":175.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":119.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":140.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":104.11,"methodology":"fee schedule"}]}]},{"description":"PF REM NONBIO DRG DEL IMP","code_information":[{"code":"11982","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":46.31,"maximum":175.42,"gross_charge":179,"discounted_cash":119.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":146.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":146.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.86,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":109.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":129.42,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":129.42,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":129.42,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":160.21,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":160.21,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":134.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":143.92,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":152.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":175.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":139.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":164.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":121.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.94,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.94,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.94,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.94,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":46.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":46.31,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":46.31,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":46.31,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":46.31,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":46.31,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":46.31,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":46.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":46.31,"methodology":"fee schedule"}]}]},{"description":"RHC REM NONBI DRG DEL IMP","code_information":[{"code":"11982","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":195.41,"maximum":353.78,"gross_charge":361,"discounted_cash":240.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":294.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":294.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":195.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":231.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":231.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":231.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.1,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":323.1,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":269.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":353.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":240.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":283.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":209.96,"methodology":"fee schedule"}]}]},{"description":"RHC REM NONBI DRG DEL IMP","code_information":[{"code":"11982","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":89.94,"maximum":353.78,"gross_charge":361,"discounted_cash":240.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":294.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":294.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":284.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":221.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":261.01,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":261.01,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":261.01,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.1,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":323.1,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":290.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":353.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":280.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":331.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":245.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.94,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.94,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.94,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.94,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":93.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":93.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":93.4,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":93.4,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":93.4,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":93.4,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":93.4,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":93.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":93.4,"methodology":"fee schedule"}]}]},{"description":"REMOVE/INSERT DRUG IMPLANT","code_information":[{"code":"11983","type":"CPT"}],"standard_charges":[{"minimum":145.05,"maximum":145.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.05,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.05,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.05,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.05,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF LR SMPL TRK/NK <=2.5CM","code_information":[{"code":"12001","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":62.8,"maximum":113.68,"gross_charge":116,"discounted_cash":77.26,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":94.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":94.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.51,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":62.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":74.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":74.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":74.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":103.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":87,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":86.66,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":98.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":113.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":77.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":90.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":67.47,"methodology":"fee schedule"}]}]},{"description":"PF LR SMPL TRK/NK <=2.5CM","code_information":[{"code":"12001","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":30.01,"maximum":113.68,"gross_charge":116,"discounted_cash":77.26,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":94.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":94.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":71.21,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":83.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":83.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":83.87,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":103.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":87,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":93.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":98.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":113.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":106.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":78.77,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.31,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.31,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.31,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.31,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":30.01,"methodology":"fee schedule"}]}]},{"description":"RHC RPR TRK/NK SMP<=2.5CM","code_information":[{"code":"12001","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":75.79,"maximum":137.2,"gross_charge":140,"discounted_cash":93.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":75.79,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":89.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":89.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":89.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.3,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":125.3,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":105,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":119,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":137.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":93.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":109.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":81.43,"methodology":"fee schedule"}]}]},{"description":"RHC RPR TRK/NK SMP<=2.5CM","code_information":[{"code":"12001","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":36.22,"maximum":137.2,"gross_charge":140,"discounted_cash":93.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.17,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":85.94,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":101.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":101.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":101.22,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.3,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":125.3,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":105,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":112.56,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":119,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":137.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":108.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":128.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":95.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.31,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.31,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.31,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.31,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":36.22,"methodology":"fee schedule"}]}]},{"description":"RHC RPR TRK/NK SMP2.6-7.5","code_information":[{"code":"12002","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":99.6,"maximum":180.32,"gross_charge":184,"discounted_cash":122.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":150.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":150.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":99.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":117.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":117.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":117.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":164.68,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":137.45,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":156.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":180.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":122.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":144.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":107.02,"methodology":"fee schedule"}]}]},{"description":"RHC RPR TRK/NK SMP2.6-7.5","code_information":[{"code":"12002","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":47.61,"maximum":180.32,"gross_charge":184,"discounted_cash":122.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":150.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":150.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":144.79,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":112.94,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":133.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":133.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":133.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":164.68,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":147.94,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":156.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":180.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":143.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":168.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":124.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":47.61,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":47.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":47.61,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":47.61,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":47.61,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":47.61,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":47.61,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":47.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":47.61,"methodology":"fee schedule"}]}]},{"description":"RHC RPR TR/NK SMP7.6-12.5","code_information":[{"code":"12004","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":143.99,"maximum":260.68,"gross_charge":266,"discounted_cash":177.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":217.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":217.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":184.61,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":143.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":170.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":170.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":170.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":238.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":238.07,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":199.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":198.71,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":260.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":177.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":208.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":154.71,"methodology":"fee schedule"}]}]},{"description":"RHC RPR TR/NK SMP7.6-12.5","code_information":[{"code":"12004","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":68.82,"maximum":260.68,"gross_charge":266,"discounted_cash":177.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":217.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":217.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.32,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":163.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":192.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":192.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":192.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":238.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":238.07,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":199.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":213.87,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":260.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":206.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":244.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":180.62,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.55,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.55,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.55,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.55,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":68.82,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":68.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":68.82,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":68.82,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":68.82,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":68.82,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":68.82,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":68.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":68.82,"methodology":"fee schedule"}]}]},{"description":"RHC RPR TRK/NK SMP12.6-20","code_information":[{"code":"12005","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":196.5,"maximum":355.74,"gross_charge":363,"discounted_cash":241.76,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":296.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":296.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":296.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":251.93,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":196.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":232.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":232.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":232.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":324.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":324.89,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":272.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":271.17,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":308.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":355.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":242.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":284.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":211.13,"methodology":"fee schedule"}]}]},{"description":"RHC RPR TRK/NK SMP12.6-20","code_information":[{"code":"12005","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":93.91,"maximum":355.74,"gross_charge":363,"discounted_cash":241.76,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":296.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":296.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":296.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":285.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":222.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":262.45,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":262.45,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":262.45,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":324.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":324.89,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":272.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":291.86,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":308.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":355.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":282.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":333.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":246.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.06,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.06,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.06,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.06,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":93.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":93.91,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":93.91,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":93.91,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":93.91,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":93.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":93.91,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":93.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":93.91,"methodology":"fee schedule"}]}]},{"description":"RHC RPR TRK/NK SMP20.1-30","code_information":[{"code":"12006","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":273.36,"maximum":494.9,"gross_charge":505,"discounted_cash":336.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":412.59,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":412.59,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":412.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":350.47,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":273.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":323.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":323.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":323.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":451.98,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":451.98,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":378.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":377.24,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":429.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":494.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":337.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":395.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":293.71,"methodology":"fee schedule"}]}]},{"description":"RHC RPR TRK/NK SMP20.1-30","code_information":[{"code":"12006","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":130.65,"maximum":494.9,"gross_charge":505,"discounted_cash":336.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":412.59,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":412.59,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":412.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":309.97,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":365.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":365.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":365.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":451.98,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":451.98,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":378.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":406.02,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":429.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":494.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":392.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":463.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":342.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.07,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.07,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.07,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.07,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":130.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":130.65,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":130.65,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":130.65,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":130.65,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":130.65,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":130.65,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":130.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":130.65,"methodology":"fee schedule"}]}]},{"description":"RPR S/N/AX/GEN/TRNK >30.0 CM","code_information":[{"code":"12007","type":"CPT"}],"standard_charges":[{"minimum":322.98,"maximum":322.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":322.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":322.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":322.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":322.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":322.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"MAJOR RESPIRATORY AND CHEST PROCEDURES","code_information":[{"code":"1201","type":"APR-DRG"}],"standard_charges":[{"minimum":41402,"maximum":41402,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":41402,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":41402,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":41402,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":41402,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":41402,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RHC RPR FACE/EAR SMP<=2.5","code_information":[{"code":"12011","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":89.86,"maximum":162.68,"gross_charge":166,"discounted_cash":110.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":135.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":135.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.21,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":89.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":106.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":106.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":106.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.57,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":148.57,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":124.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":124.01,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":141.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":162.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":110.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":130.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":96.55,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FACE/EAR SMP<=2.5","code_information":[{"code":"12011","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":42.95,"maximum":162.68,"gross_charge":166,"discounted_cash":110.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":135.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":135.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":101.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":120.02,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":120.02,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":120.02,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.57,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":148.57,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":124.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":133.47,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":141.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":162.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":129.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":152.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":112.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.73,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.73,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.73,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.73,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.73,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":42.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":42.95,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":42.95,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":42.95,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":42.95,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":42.95,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":42.95,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":42.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":42.95,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FACE/EAR SMP2.6-5","code_information":[{"code":"12013","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":118.01,"maximum":213.64,"gross_charge":218,"discounted_cash":145.19,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.11,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":178.11,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":178.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":118.01,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":139.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":139.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":139.52,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":195.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":195.11,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":163.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":162.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":185.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":213.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":145.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":170.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":126.79,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FACE/EAR SMP2.6-5","code_information":[{"code":"12013","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":56.4,"maximum":213.64,"gross_charge":218,"discounted_cash":145.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.11,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":178.11,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":178.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":171.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":133.81,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":157.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":157.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":157.62,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":195.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":195.11,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":163.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":175.28,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":185.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":213.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":169.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":200.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":148.03,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":56.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":56.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":56.4,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":56.4,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":56.4,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":56.4,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":56.4,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":56.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":56.4,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FCE/ER SMP5.1-7.5","code_information":[{"code":"12014","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":151.57,"maximum":274.4,"gross_charge":280,"discounted_cash":186.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":194.32,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":151.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":179.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":179.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":179.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":250.6,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":209.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":238,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":274.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":186.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":219.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":162.85,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FCE/ER SMP5.1-7.5","code_information":[{"code":"12014","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":72.44,"maximum":274.4,"gross_charge":280,"discounted_cash":186.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":220.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":171.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":202.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":202.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":202.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":250.6,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":225.12,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":238,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":274.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":217.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":257.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":190.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.38,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.38,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.38,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.38,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FC/ER SMP7.6-12.5","code_information":[{"code":"12015","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":179.18,"maximum":324.38,"gross_charge":331,"discounted_cash":220.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":270.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":270.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":270.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":229.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":179.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":211.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":211.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":211.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":296.25,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":296.25,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":248.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":247.26,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":281.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":324.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":220.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":259.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":192.51,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FC/ER SMP7.6-12.5","code_information":[{"code":"12015","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":85.63,"maximum":324.38,"gross_charge":331,"discounted_cash":220.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":270.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":270.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":270.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":260.47,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":203.17,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":239.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":239.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":239.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":296.25,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":296.25,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":248.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":266.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":281.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":324.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":257.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":303.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":224.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.45,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.45,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.45,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.45,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.45,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FAC/ER SMP12.6-20","code_information":[{"code":"12016","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":199.74,"maximum":361.62,"gross_charge":369,"discounted_cash":245.76,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":301.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":301.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":301.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":256.09,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":199.74,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":236.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":236.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":236.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.26,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":330.26,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":276.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":275.65,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":313.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":361.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":246.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":289.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":214.62,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FAC/ER SMP12.6-20","code_information":[{"code":"12016","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":95.47,"maximum":361.62,"gross_charge":369,"discounted_cash":245.76,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":301.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":301.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":301.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":290.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":226.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":266.79,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":266.79,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":266.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.26,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":330.26,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":276.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":296.68,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":313.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":361.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":287.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":338.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":250.56,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":179,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":179,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":179,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":179,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":179,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":95.47,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":95.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":95.47,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":95.47,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":95.47,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":95.47,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":95.47,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":95.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":95.47,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FAC/EAR SMP 20-30","code_information":[{"code":"12017","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":229.52,"maximum":415.52,"gross_charge":424,"discounted_cash":282.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":229.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":316.73,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":415.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":282.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":332.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":246.6,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FAC/EAR SMP 20-30","code_information":[{"code":"12017","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":109.69,"maximum":415.52,"gross_charge":424,"discounted_cash":282.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":333.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":260.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":340.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":415.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":329.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":389.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":287.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":373.82,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":373.82,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":373.82,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":373.82,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":373.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"}]}]},{"description":"RPR F/E/E/N/L/M >30.0 CM","code_information":[{"code":"12018","type":"CPT"}],"standard_charges":[{"minimum":436.2,"maximum":436.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":436.2,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":436.2,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":436.2,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":436.2,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":436.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"MAJOR RESPIRATORY AND CHEST PROCEDURES","code_information":[{"code":"1202","type":"APR-DRG"}],"standard_charges":[{"minimum":50252,"maximum":50252,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":50252,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":50252,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":50252,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":50252,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":50252,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PF CLOSE SMPL WND DEHISC","code_information":[{"code":"12020","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":277.15,"maximum":501.76,"gross_charge":512,"discounted_cash":341,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":418.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":418.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":418.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":277.15,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":327.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":327.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":327.68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":458.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":458.24,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":384,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":382.47,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":435.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":501.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":341.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":401.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":297.78,"methodology":"fee schedule"}]}]},{"description":"PF CLOSE SMPL WND DEHISC","code_information":[{"code":"12020","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":132.46,"maximum":501.76,"gross_charge":512,"discounted_cash":341,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":418.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":418.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":418.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":402.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":314.27,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":370.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":370.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":370.18,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":458.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":458.24,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":384,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":411.65,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":435.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":501.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":398.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":470.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":347.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.52,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.52,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.52,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.52,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.52,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":132.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":132.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":132.46,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":132.46,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":132.46,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":132.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":132.46,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":132.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":132.46,"methodology":"fee schedule"}]}]},{"description":"RHC TRMT WD DEHISCNC SMPL","code_information":[{"code":"12020","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":216.52,"maximum":392,"gross_charge":400,"discounted_cash":266.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":277.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":216.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":256,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":256,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":256,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":358,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":358,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":300,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":298.8,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":340,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":392,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":266.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":313.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":232.64,"methodology":"fee schedule"}]}]},{"description":"RHC TRMT WD DEHISCNC SMPL","code_information":[{"code":"12020","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":103.48,"maximum":392,"gross_charge":400,"discounted_cash":266.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":314.76,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":245.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":289.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":289.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":289.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":358,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":358,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":300,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":321.6,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":340,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":392,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":311.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":367.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":271.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.52,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.52,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.52,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.52,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.52,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":103.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":103.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":103.48,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":103.48,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":103.48,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":103.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":103.48,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":103.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":103.48,"methodology":"fee schedule"}]}]},{"description":"CLOSURE OF SPLIT WOUND","code_information":[{"code":"12021","type":"CPT"}],"standard_charges":[{"minimum":144.4,"maximum":144.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"MAJOR RESPIRATORY AND CHEST PROCEDURES","code_information":[{"code":"1203","type":"APR-DRG"}],"standard_charges":[{"minimum":70561,"maximum":70561,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":70561,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":70561,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":70561,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":70561,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":70561,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PF RPR SCLP/TRK INT <=2.5","code_information":[{"code":"12031","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":220.86,"maximum":399.84,"gross_charge":408,"discounted_cash":271.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":333.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":333.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":333.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":283.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":220.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":261.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":261.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":261.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":365.16,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":306,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":304.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":346.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":399.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":272.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":319.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":237.3,"methodology":"fee schedule"}]}]},{"description":"PF RPR SCLP/TRK INT <=2.5","code_information":[{"code":"12031","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":96.98,"maximum":399.84,"gross_charge":408,"discounted_cash":271.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":333.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":333.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":333.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":321.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":250.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":294.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":294.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":294.99,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":365.16,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":306,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":328.04,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":346.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":399.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":317.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":374.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":277.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":105.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":105.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":105.55,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":105.55,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":105.55,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":105.55,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":105.55,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":105.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":105.55,"methodology":"fee schedule"}]}]},{"description":"RHC RPR SCLP/TRK INT<=2.5","code_information":[{"code":"12031","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":82.82,"maximum":149.94,"gross_charge":153,"discounted_cash":101.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.94,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":136.94,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":114.3,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":130.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":149.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":119.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":88.99,"methodology":"fee schedule"}]}]},{"description":"RHC RPR SCLP/TRK INT<=2.5","code_information":[{"code":"12031","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":39.59,"maximum":149.94,"gross_charge":153,"discounted_cash":101.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":125.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":93.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":110.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":110.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":110.62,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.94,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":136.94,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":123.02,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":130.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":149.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":119.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":140.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":103.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":39.59,"methodology":"fee schedule"}]}]},{"description":"RPR SCALP/TRUNK INT <=2.5","code_information":[{"code":"12031","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":551.05,"maximum":997.64,"gross_charge":1018,"discounted_cash":677.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":831.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":831.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":831.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":706.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":551.05,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":651.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":651.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":651.52,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":911.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":911.11,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":763.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":760.45,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":865.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":997.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":679.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":798.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":592.07,"methodology":"fee schedule"}]}]},{"description":"RPR SCALP/TRUNK INT <=2.5","code_information":[{"code":"12031","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":96.98,"maximum":997.64,"gross_charge":1018,"discounted_cash":677.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":831.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":831.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":831.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":801.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":624.85,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":736.02,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":736.02,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":736.02,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":911.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":911.11,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":763.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":818.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":865.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":997.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":792.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":934.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":691.23,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":263.36,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":263.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":263.36,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":263.36,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":263.36,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":263.36,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":263.36,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":263.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":263.36,"methodology":"fee schedule"}]}]},{"description":"PF LR INT SCP/TRN 2.6-7.5","code_information":[{"code":"12032","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":294.47,"maximum":533.12,"gross_charge":544,"discounted_cash":362.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":444.45,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":444.45,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":444.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":377.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":294.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":348.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":348.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":348.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":486.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":486.88,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":406.37,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":462.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":533.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":363.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":426.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":316.4,"methodology":"fee schedule"}]}]},{"description":"PF LR INT SCP/TRN 2.6-7.5","code_information":[{"code":"12032","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":105.1,"maximum":533.12,"gross_charge":544,"discounted_cash":362.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":444.45,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":444.45,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":444.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":428.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":333.91,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":393.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":393.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":393.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":486.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":486.88,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":437.38,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":462.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":533.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":423.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":499.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":369.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.1,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.1,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.1,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":140.74,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":140.74,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":140.74,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":140.74,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":140.74,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":140.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":140.74,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":140.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":140.74,"methodology":"fee schedule"}]}]},{"description":"RHC RPR SCP/TR INT2.6-7.5","code_information":[{"code":"12032","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":168.35,"maximum":304.78,"gross_charge":311,"discounted_cash":207.13,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":254.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":254.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":254.09,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.84,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":168.35,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":199.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":199.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":199.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":278.35,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":278.35,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":233.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":232.32,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":264.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":304.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":207.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":243.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":180.88,"methodology":"fee schedule"}]}]},{"description":"RHC RPR SCP/TR INT2.6-7.5","code_information":[{"code":"12032","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":80.46,"maximum":304.78,"gross_charge":311,"discounted_cash":207.13,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":254.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":254.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":254.09,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":190.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":224.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":224.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":224.86,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":278.35,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":278.35,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":233.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":250.05,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":264.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":304.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":241.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":285.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":211.17,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.1,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.1,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.1,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"}]}]},{"description":"PF LR INT SCP/TRN7.6-12.5","code_information":[{"code":"12034","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":306.38,"maximum":554.68,"gross_charge":566,"discounted_cash":376.96,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":462.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":462.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":462.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":392.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":306.38,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":362.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":362.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":362.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":506.57,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":506.57,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":424.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":422.81,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":481.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":554.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":377.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":443.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":329.19,"methodology":"fee schedule"}]}]},{"description":"PF LR INT SCP/TRN7.6-12.5","code_information":[{"code":"12034","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":119.19,"maximum":554.68,"gross_charge":566,"discounted_cash":376.96,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":462.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":462.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":462.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":445.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":347.42,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":409.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":409.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":409.22,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":506.57,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":506.57,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":424.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":455.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":481.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":554.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":440.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":519.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":384.32,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":146.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":146.43,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":146.43,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":146.43,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":146.43,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":146.43,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":146.43,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":146.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":146.43,"methodology":"fee schedule"}]}]},{"description":"RHC RPR SC/TR INT7.6-12.5","code_information":[{"code":"12034","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":151.57,"maximum":274.4,"gross_charge":280,"discounted_cash":186.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":194.32,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":151.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":179.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":179.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":179.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":250.6,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":209.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":238,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":274.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":186.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":219.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":162.85,"methodology":"fee schedule"}]}]},{"description":"RHC RPR SC/TR INT7.6-12.5","code_information":[{"code":"12034","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":72.44,"maximum":274.4,"gross_charge":280,"discounted_cash":186.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":220.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":171.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":202.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":202.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":202.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":250.6,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":225.12,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":238,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":274.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":217.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":257.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":190.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"}]}]},{"description":"RHC RPR SCP/TR INT12.6-20","code_information":[{"code":"12035","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":225.73,"maximum":408.66,"gross_charge":417,"discounted_cash":277.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":340.69,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":340.69,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":340.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":289.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":225.73,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":266.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":266.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":266.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":373.22,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":373.22,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":312.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":311.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":354.45,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":408.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":278.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":326.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":242.53,"methodology":"fee schedule"}]}]},{"description":"RHC RPR SCP/TR INT12.6-20","code_information":[{"code":"12035","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":107.88,"maximum":408.66,"gross_charge":417,"discounted_cash":277.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":340.69,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":340.69,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":340.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":328.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":255.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":301.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":301.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":301.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":373.22,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":373.22,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":312.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":335.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":354.45,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":408.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":324.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":382.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":283.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.88,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.88,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.88,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.88,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":107.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":107.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":107.88,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":107.88,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":107.88,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":107.88,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":107.88,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":107.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":107.88,"methodology":"fee schedule"}]}]},{"description":"PF LR INT SCP/TRN 20.1-30","code_information":[{"code":"12036","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":381.08,"maximum":689.92,"gross_charge":704,"discounted_cash":468.87,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":575.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":575.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":575.17,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":488.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":381.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":450.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":450.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":450.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":630.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":630.08,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":528,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":525.89,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":598.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":689.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":469.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":552.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":409.45,"methodology":"fee schedule"}]}]},{"description":"PF LR INT SCP/TRN 20.1-30","code_information":[{"code":"12036","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":181.57,"maximum":689.92,"gross_charge":704,"discounted_cash":468.87,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":575.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":575.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":575.17,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":553.98,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":432.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":509,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":509,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":509,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":630.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":630.08,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":528,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":566.02,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":598.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":689.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":547.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":646.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":478.02,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.57,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.57,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.57,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":182.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":182.13,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":182.13,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":182.13,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":182.13,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":182.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":182.13,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":182.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":182.13,"methodology":"fee schedule"}]}]},{"description":"RHC RPR SCP/TR INT20.1-30","code_information":[{"code":"12036","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":287.44,"maximum":520.38,"gross_charge":531,"discounted_cash":353.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":433.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":433.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":433.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":368.52,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":287.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":339.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":339.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":339.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":475.25,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":475.25,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":398.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":396.66,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":451.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":520.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":354.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":416.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":308.83,"methodology":"fee schedule"}]}]},{"description":"RHC RPR SCP/TR INT20.1-30","code_information":[{"code":"12036","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":137.37,"maximum":520.38,"gross_charge":531,"discounted_cash":353.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":433.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":433.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":433.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":325.93,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":383.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":383.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":383.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":475.25,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":475.25,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":398.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":426.93,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":451.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":520.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":413.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":487.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":360.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.57,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.57,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.57,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"}]}]},{"description":"MAJOR RESPIRATORY AND CHEST PROCEDURES","code_information":[{"code":"1204","type":"APR-DRG"}],"standard_charges":[{"minimum":125607,"maximum":125607,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":125607,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":125607,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":125607,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":125607,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":125607,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"LR INT NK/HND/FT <=2.5","code_information":[{"code":"12041","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":97.98,"maximum":177.38,"gross_charge":181,"discounted_cash":120.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":147.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":147.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.62,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":97.98,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":115.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":115.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":115.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":162,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":162,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":135.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":135.21,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":153.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":177.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":120.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":141.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":105.27,"methodology":"fee schedule"}]}]},{"description":"LR INT NK/HND/FT <=2.5","code_information":[{"code":"12041","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":46.83,"maximum":177.38,"gross_charge":181,"discounted_cash":120.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":147.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":147.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":111.1,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":130.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":130.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":130.87,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":162,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":162,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":135.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":145.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":153.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":177.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":140.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":166.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":122.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.66,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.66,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.66,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.66,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.66,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":46.83,"methodology":"fee schedule"}]}]},{"description":"PF LR INT NK/HND/FT <=2.5","code_information":[{"code":"12041","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":223.56,"maximum":404.74,"gross_charge":413,"discounted_cash":275.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":337.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":337.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":337.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":223.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":264.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":264.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":264.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":369.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":369.64,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":309.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":308.52,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":351.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":404.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":275.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":323.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":240.21,"methodology":"fee schedule"}]}]},{"description":"PF LR INT NK/HND/FT <=2.5","code_information":[{"code":"12041","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":106.85,"maximum":404.74,"gross_charge":413,"discounted_cash":275.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":337.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":337.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":337.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":324.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":253.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":298.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":298.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":298.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":369.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":369.64,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":309.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":332.06,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":351.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":404.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":321.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":379.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":280.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.66,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.66,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.66,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.66,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.66,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":106.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":106.85,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":106.85,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":106.85,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":106.85,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":106.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":106.85,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":106.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":106.85,"methodology":"fee schedule"}]}]},{"description":"RHC RPR NK/HN/FT INT<=2.5","code_information":[{"code":"12041","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":93.65,"maximum":169.54,"gross_charge":173,"discounted_cash":115.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":141.35,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":141.35,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":141.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":93.65,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":110.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":110.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":110.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":154.84,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":129.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":129.24,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":147.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":169.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":115.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":135.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":100.62,"methodology":"fee schedule"}]}]},{"description":"RHC RPR NK/HN/FT INT<=2.5","code_information":[{"code":"12041","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":44.76,"maximum":169.54,"gross_charge":173,"discounted_cash":115.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":141.35,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":141.35,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":141.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":106.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":125.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":125.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":125.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":154.84,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":129.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":139.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":147.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":169.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":134.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":158.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":117.47,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.66,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.66,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.66,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.66,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.66,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":44.76,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":44.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":44.76,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":44.76,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":44.76,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":44.76,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":44.76,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":44.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":44.76,"methodology":"fee schedule"}]}]},{"description":"PF LR IN NK/HN/FT 2.6-7.5","code_information":[{"code":"12042","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":297.72,"maximum":539,"gross_charge":550,"discounted_cash":366.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":381.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":297.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":352,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":352,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":352,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":492.25,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":492.25,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":412.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":410.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":467.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":539,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":367.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":431.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":319.88,"methodology":"fee schedule"}]}]},{"description":"PF LR IN NK/HN/FT 2.6-7.5","code_information":[{"code":"12042","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":114.5,"maximum":539,"gross_charge":550,"discounted_cash":366.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":432.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":337.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":397.65,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":397.65,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":397.65,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":492.25,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":492.25,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":412.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":442.2,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":467.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":539,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":427.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":504.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":373.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":142.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":142.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":142.29,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":142.29,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":142.29,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":142.29,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":142.29,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":142.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":142.29,"methodology":"fee schedule"}]}]},{"description":"RHC RPR NK/H/F INT2.6-7.5","code_information":[{"code":"12042","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":287.44,"maximum":520.38,"gross_charge":531,"discounted_cash":353.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":433.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":433.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":433.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":368.52,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":287.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":339.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":339.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":339.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":475.25,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":475.25,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":398.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":396.66,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":451.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":520.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":354.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":416.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":308.83,"methodology":"fee schedule"}]}]},{"description":"RHC RPR NK/H/F INT2.6-7.5","code_information":[{"code":"12042","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":114.5,"maximum":520.38,"gross_charge":531,"discounted_cash":353.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":433.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":433.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":433.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":325.93,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":383.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":383.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":383.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":475.25,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":475.25,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":398.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":426.93,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":451.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":520.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":413.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":487.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":360.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"}]}]},{"description":"PF LR INT NK/H/FT7.6-12.5","code_information":[{"code":"12044","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":307.46,"maximum":556.64,"gross_charge":568,"discounted_cash":378.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":464.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":464.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":464.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":394.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":307.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":363.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":363.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":363.52,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":508.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":508.36,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":426,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":424.3,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":482.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":556.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":379.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":445.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":330.35,"methodology":"fee schedule"}]}]},{"description":"PF LR INT NK/H/FT7.6-12.5","code_information":[{"code":"12044","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":124.32,"maximum":556.64,"gross_charge":568,"discounted_cash":378.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":464.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":464.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":464.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":446.96,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":348.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":410.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":410.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":410.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":508.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":508.36,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":426,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":456.68,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":482.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":556.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":441.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":521.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":385.68,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.32,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.32,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.32,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.32,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.32,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":146.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":146.95,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":146.95,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":146.95,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":146.95,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":146.95,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":146.95,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":146.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":146.95,"methodology":"fee schedule"}]}]},{"description":"RHC RPR N/H/F INT7.6-12.5","code_information":[{"code":"12044","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":165.64,"maximum":299.88,"gross_charge":306,"discounted_cash":203.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":250.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":250.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":212.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":165.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":195.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":195.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":195.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":273.87,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":273.87,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":229.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":228.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":260.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":299.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":204.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":239.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":177.97,"methodology":"fee schedule"}]}]},{"description":"RHC RPR N/H/F INT7.6-12.5","code_information":[{"code":"12044","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":79.17,"maximum":299.88,"gross_charge":306,"discounted_cash":203.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":250.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":250.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":240.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":187.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":221.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":221.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":221.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":273.87,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":273.87,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":229.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":246.03,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":260.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":299.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":238.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":280.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":207.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.32,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.32,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.32,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.32,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.32,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":79.17,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":79.17,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":79.17,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":79.17,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":79.17,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":79.17,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":79.17,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":79.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":79.17,"methodology":"fee schedule"}]}]},{"description":"RHC RPR NK/H/F INT12.6-20","code_information":[{"code":"12045","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":274.99,"maximum":497.84,"gross_charge":508,"discounted_cash":338.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":415.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":415.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":415.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":352.56,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":274.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":325.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":325.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":325.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":454.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":454.66,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":381,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":431.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":497.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":339.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":398.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":295.46,"methodology":"fee schedule"}]}]},{"description":"RHC RPR NK/H/F INT12.6-20","code_information":[{"code":"12045","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":131.42,"maximum":497.84,"gross_charge":508,"discounted_cash":338.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":415.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":415.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":415.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":399.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":311.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":367.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":367.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":367.29,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":454.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":454.66,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":381,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":408.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":431.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":497.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":395.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":466.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":344.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"}]}]},{"description":"RHC RPR NK/H/F INT20.1-30","code_information":[{"code":"12046","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":310.17,"maximum":561.54,"gross_charge":573,"discounted_cash":381.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":468.15,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":468.15,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":468.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":310.17,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":366.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":366.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":366.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":512.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":512.84,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":429.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":428.04,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":487.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":561.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":382.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":449.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":333.26,"methodology":"fee schedule"}]}]},{"description":"RHC RPR NK/H/F INT20.1-30","code_information":[{"code":"12046","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":148.24,"maximum":561.54,"gross_charge":573,"discounted_cash":381.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":468.15,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":468.15,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":468.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":450.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":351.71,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":414.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":414.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":414.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":512.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":512.84,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":429.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":460.7,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":487.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":561.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":445.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":526.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":389.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":185.42,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":185.42,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":185.42,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":185.42,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":185.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":148.24,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":148.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":148.24,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":148.24,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":148.24,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":148.24,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":148.24,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":148.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":148.24,"methodology":"fee schedule"}]}]},{"description":"INTMD RPR N-HF/GENIT >30.0CM","code_information":[{"code":"12047","type":"CPT"}],"standard_charges":[{"minimum":394.76,"maximum":394.76,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.76,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.76,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.76,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.76,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF LR INT FACE/EAR <=2.5","code_information":[{"code":"12051","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":228.97,"maximum":414.54,"gross_charge":423,"discounted_cash":281.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":345.6,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":345.6,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":345.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":293.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":228.97,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":270.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":270.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":270.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":378.59,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":378.59,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":317.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":315.99,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":359.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":414.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":282.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":331.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":246.02,"methodology":"fee schedule"}]}]},{"description":"PF LR INT FACE/EAR <=2.5","code_information":[{"code":"12051","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":108.08,"maximum":414.54,"gross_charge":423,"discounted_cash":281.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":345.6,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":345.6,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":345.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":332.86,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":259.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":305.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":305.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":305.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":378.59,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":378.59,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":317.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":359.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":414.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":329.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":388.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":287.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.08,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.08,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.08,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.08,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.08,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"}]}]},{"description":"RHC RPR F/E/N WD INT<=2.5","code_information":[{"code":"12051","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":245.21,"maximum":443.94,"gross_charge":453,"discounted_cash":301.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":370.11,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":370.11,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":370.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":314.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":245.21,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":289.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":289.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":289.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":405.44,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":339.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":338.4,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":385.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":443.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":302.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":355.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":263.47,"methodology":"fee schedule"}]}]},{"description":"RHC RPR F/E/N WD INT<=2.5","code_information":[{"code":"12051","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":108.08,"maximum":443.94,"gross_charge":453,"discounted_cash":301.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":370.11,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":370.11,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":370.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":356.47,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":278.06,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":327.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":327.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":327.52,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":405.44,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":339.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":364.22,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":385.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":443.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":352.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":415.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":307.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.08,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.08,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.08,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.08,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.08,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":117.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":117.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":117.2,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":117.2,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":117.2,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":117.2,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":117.2,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":117.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":117.2,"methodology":"fee schedule"}]}]},{"description":"PF LR INT FACE/EAR 2.6-5","code_information":[{"code":"12052","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":286.35,"maximum":518.42,"gross_charge":529,"discounted_cash":352.32,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":432.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":432.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":432.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":367.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":286.35,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":338.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":338.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":338.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":473.46,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":473.46,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":396.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":395.17,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":449.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":518.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":353.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":414.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":307.67,"methodology":"fee schedule"}]}]},{"description":"PF LR INT FACE/EAR 2.6-5","code_information":[{"code":"12052","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":113.64,"maximum":518.42,"gross_charge":529,"discounted_cash":352.32,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":432.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":432.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":432.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":416.28,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":324.71,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":382.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":382.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":382.47,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":473.46,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":473.46,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":396.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":425.32,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":449.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":518.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":411.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":485.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":359.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.64,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":136.86,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":136.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":136.86,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":136.86,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":136.86,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":136.86,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":136.86,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":136.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":136.86,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FCE/ER INT5.1-7.5","code_information":[{"code":"12053","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":179.18,"maximum":324.38,"gross_charge":331,"discounted_cash":220.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":270.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":270.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":270.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":229.72,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":179.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":211.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":211.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":211.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":296.25,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":296.25,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":248.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":247.26,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":281.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":324.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":220.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":259.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":192.51,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FCE/ER INT5.1-7.5","code_information":[{"code":"12053","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":85.63,"maximum":324.38,"gross_charge":331,"discounted_cash":220.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":270.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":270.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":270.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":260.47,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":203.17,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":239.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":239.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":239.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":296.25,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":296.25,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":248.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":266.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":281.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":324.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":257.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":303.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":224.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":123.46,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":123.46,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":123.46,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":123.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":123.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FC/ER INT7.6-12.5","code_information":[{"code":"12054","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":274.99,"maximum":497.84,"gross_charge":508,"discounted_cash":338.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":415.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":415.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":415.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":352.56,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":274.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":325.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":325.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":325.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":454.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":454.66,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":381,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":431.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":497.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":339.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":398.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":295.46,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FC/ER INT7.6-12.5","code_information":[{"code":"12054","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":131.42,"maximum":497.84,"gross_charge":508,"discounted_cash":338.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":415.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":415.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":415.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":399.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":311.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":367.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":367.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":367.29,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":454.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":454.66,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":381,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":408.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":431.8,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":497.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":395.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":466.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":344.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":179,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":179,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":179,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":179,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":179,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":131.42,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FCE/ER INT12.6-20","code_information":[{"code":"12055","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":321,"maximum":581.14,"gross_charge":593,"discounted_cash":394.94,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":484.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":484.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":484.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":411.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":321,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":379.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":379.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":379.52,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":530.74,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":530.74,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":444.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":442.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":504.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":581.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":395.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":464.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":344.89,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FCE/ER INT12.6-20","code_information":[{"code":"12055","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":153.41,"maximum":581.14,"gross_charge":593,"discounted_cash":394.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":484.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":484.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":484.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":466.64,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":363.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":428.74,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":428.74,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":428.74,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":530.74,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":530.74,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":444.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":476.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":504.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":581.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":461.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":544.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":402.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":266.16,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":266.16,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":266.16,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":266.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":266.16,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":153.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":153.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":153.41,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":153.41,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":153.41,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":153.41,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":153.41,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":153.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":153.41,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FCE/EAR INT 20-30","code_information":[{"code":"12056","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":349.68,"maximum":633.08,"gross_charge":646,"discounted_cash":430.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":527.79,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":527.79,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":527.79,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":448.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":349.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":413.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":413.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":413.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":578.17,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":578.17,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":484.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":482.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":549.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":633.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":431.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":506.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":375.72,"methodology":"fee schedule"}]}]},{"description":"RHC RPR FCE/EAR INT 20-30","code_information":[{"code":"12056","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":167.13,"maximum":633.08,"gross_charge":646,"discounted_cash":430.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":527.79,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":527.79,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":527.79,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":508.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":396.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":467.06,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":467.06,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":467.06,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":578.17,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":578.17,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":484.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":519.39,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":549.1,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":633.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":502.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":593.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":438.64,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":408.43,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":408.43,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":408.43,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":408.43,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":408.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":167.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":167.13,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":167.13,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":167.13,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":167.13,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":167.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":167.13,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":167.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":167.13,"methodology":"fee schedule"}]}]},{"description":"INTMD RPR FACE/MM >30.0 CM","code_information":[{"code":"12057","type":"CPT"}],"standard_charges":[{"minimum":431.49,"maximum":431.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":431.49,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":431.49,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":431.49,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":431.49,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":431.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"OTHER RESPIRATORY AND CHEST PROCEDURES","code_information":[{"code":"1211","type":"APR-DRG"}],"standard_charges":[{"minimum":29743,"maximum":29743,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":29743,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":29743,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":29743,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":29743,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":29743,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER RESPIRATORY AND CHEST PROCEDURES","code_information":[{"code":"1212","type":"APR-DRG"}],"standard_charges":[{"minimum":38509,"maximum":38509,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":38509,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":38509,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":38509,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":38509,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":38509,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER RESPIRATORY AND CHEST PROCEDURES","code_information":[{"code":"1213","type":"APR-DRG"}],"standard_charges":[{"minimum":58890,"maximum":58890,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":58890,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":58890,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":58890,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":58890,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":58890,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER RESPIRATORY AND CHEST PROCEDURES","code_information":[{"code":"1214","type":"APR-DRG"}],"standard_charges":[{"minimum":100676,"maximum":100676,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":100676,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":100676,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":100676,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":100676,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":100676,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS","code_information":[{"code":"1301","type":"APR-DRG"}],"standard_charges":[{"minimum":66753,"maximum":66753,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":66753,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":66753,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":66753,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":66753,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":66753,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS","code_information":[{"code":"1302","type":"APR-DRG"}],"standard_charges":[{"minimum":75501,"maximum":75501,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":75501,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":75501,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":75501,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":75501,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":75501,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS","code_information":[{"code":"1303","type":"APR-DRG"}],"standard_charges":[{"minimum":89617,"maximum":89617,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":89617,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":89617,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":89617,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":89617,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":89617,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS","code_information":[{"code":"1304","type":"APR-DRG"}],"standard_charges":[{"minimum":117155,"maximum":117155,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":117155,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":117155,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":117155,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":117155,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":117155,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CMPLX RPR TRUNK 1.1-2.5 CM","code_information":[{"code":"13100","type":"CPT"}],"standard_charges":[{"minimum":126.88,"maximum":126.88,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.88,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.88,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.88,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.88,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF LR CPLX TRUNK 2.6-7.5","code_information":[{"code":"13101","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":590.02,"maximum":1068.2,"gross_charge":1090,"discounted_cash":725.94,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":890.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":890.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":890.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":756.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":590.02,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":697.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":697.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":697.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":975.55,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":975.55,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":817.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":814.23,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":926.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1068.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":727.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":854.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":633.95,"methodology":"fee schedule"}]}]},{"description":"PF LR CPLX TRUNK 2.6-7.5","code_information":[{"code":"13101","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":148.67,"maximum":1068.2,"gross_charge":1090,"discounted_cash":725.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":890.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":890.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":890.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":857.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":669.05,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":788.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":788.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":788.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":975.55,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":975.55,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":817.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":876.36,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":926.5,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1068.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":848.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1000.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":740.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.67,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.67,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.67,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":281.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":281.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":281.99,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":281.99,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":281.99,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":281.99,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":281.99,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":281.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":281.99,"methodology":"fee schedule"}]}]},{"description":"PF LR CPLX TRUNK ADD <=5","code_information":[{"code":"13102","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":180.26,"maximum":326.34,"gross_charge":333,"discounted_cash":221.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":272.07,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":272.07,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":272.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":231.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":180.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":213.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":213.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":213.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":298.04,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":249.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":248.76,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":283.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":326.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":222.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":261.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":193.68,"methodology":"fee schedule"}]}]},{"description":"PF LR CPLX TRUNK ADD <=5","code_information":[{"code":"13102","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":57.67,"maximum":326.34,"gross_charge":333,"discounted_cash":221.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":272.07,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":272.07,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":272.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":262.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":204.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":240.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":240.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":240.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":298.04,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":249.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":267.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":283.05,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":326.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":259.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":305.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":226.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.67,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.67,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.67,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":86.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":86.15,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":86.15,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":86.15,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":86.15,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":86.15,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":86.15,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":86.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":86.15,"methodology":"fee schedule"}]}]},{"description":"CYSTIC FIBROSIS - PULMONARY DISEASE","code_information":[{"code":"1311","type":"APR-DRG"}],"standard_charges":[{"minimum":24625,"maximum":24625,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":24625,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":24625,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":24625,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":24625,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":24625,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CYSTIC FIBROSIS - PULMONARY DISEASE","code_information":[{"code":"1312","type":"APR-DRG"}],"standard_charges":[{"minimum":32307,"maximum":32307,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":32307,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":32307,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":32307,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":32307,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":32307,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CMPLX RPR S/A/L 1.1-2.5 CM","code_information":[{"code":"13120","type":"CPT"}],"standard_charges":[{"minimum":133.3,"maximum":133.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.3,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.3,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.3,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.3,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF LR CPX SC/AR/LG2.6-7.5","code_information":[{"code":"13121","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":366.47,"maximum":663.46,"gross_charge":677,"discounted_cash":450.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":553.11,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":553.11,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":553.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.84,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":366.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":433.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":433.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":433.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":605.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":605.92,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":507.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":505.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":575.45,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":663.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":451.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":530.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":393.75,"methodology":"fee schedule"}]}]},{"description":"PF LR CPX SC/AR/LG2.6-7.5","code_information":[{"code":"13121","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":175.14,"maximum":663.46,"gross_charge":677,"discounted_cash":450.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":553.11,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":553.11,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":553.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":532.74,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":415.55,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":489.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":489.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":489.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":605.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":605.92,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":507.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":544.31,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":575.45,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":663.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":526.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":621.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":459.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":175.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":175.14,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":175.14,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":175.14,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":175.14,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":175.14,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":175.14,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":175.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":175.14,"methodology":"fee schedule"}]}]},{"description":"PF LR CPX SC/AR/LG ADD<=5","code_information":[{"code":"13122","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":114.76,"maximum":207.76,"gross_charge":212,"discounted_cash":141.2,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.21,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":173.21,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":173.21,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":114.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":135.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":135.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":135.68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.74,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":189.74,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":159,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":158.37,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":180.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":207.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":141.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":166.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":123.3,"methodology":"fee schedule"}]}]},{"description":"PF LR CPX SC/AR/LG ADD<=5","code_information":[{"code":"13122","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":54.85,"maximum":207.76,"gross_charge":212,"discounted_cash":141.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.21,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":173.21,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":173.21,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":130.13,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":153.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":153.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":153.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.74,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":189.74,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":159,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":170.45,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":180.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":207.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":164.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":194.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":143.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":67.07,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":67.07,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":67.07,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":67.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":67.07,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":54.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":54.85,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":54.85,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":54.85,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":54.85,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":54.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":54.85,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":54.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":54.85,"methodology":"fee schedule"}]}]},{"description":"CYSTIC FIBROSIS - PULMONARY DISEASE","code_information":[{"code":"1313","type":"APR-DRG"}],"standard_charges":[{"minimum":43780,"maximum":43780,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":43780,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":43780,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":43780,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":43780,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":43780,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PF LR FH/HND/FTCPX1.1-2.5","code_information":[{"code":"13131","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":337.78,"maximum":611.52,"gross_charge":624,"discounted_cash":415.59,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":509.81,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":509.81,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":509.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":433.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":337.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":399.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":399.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":399.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":558.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":558.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":468,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":466.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":530.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":611.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":416.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":489.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":362.92,"methodology":"fee schedule"}]}]},{"description":"PF LR FH/HND/FTCPX1.1-2.5","code_information":[{"code":"13131","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":148.25,"maximum":611.52,"gross_charge":624,"discounted_cash":415.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":509.81,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":509.81,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":509.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":491.03,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":383.02,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":451.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":451.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":451.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":558.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":558.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":468,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":501.7,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":530.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":611.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":485.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":572.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.25,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.25,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":161.43,"methodology":"fee schedule"}]}]},{"description":"RHC RPR H/HN/F CPX1.1-2.5","code_information":[{"code":"13131","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":127.75,"maximum":231.28,"gross_charge":236,"discounted_cash":157.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":192.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":192.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":192.82,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":163.79,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":127.75,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":151.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":151.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":151.04,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.22,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":211.22,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":177,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":176.3,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":200.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":231.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":157.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":185.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":137.26,"methodology":"fee schedule"}]}]},{"description":"RHC RPR H/HN/F CPX1.1-2.5","code_information":[{"code":"13131","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":61.06,"maximum":231.28,"gross_charge":236,"discounted_cash":157.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":192.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":192.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":192.82,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":185.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":144.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":170.63,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":170.63,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":170.63,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.22,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":211.22,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":177,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":189.75,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":200.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":231.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":183.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":216.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":160.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.25,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.25,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"}]}]},{"description":"PF LR CPLX H/HN/FT2.6-7.5","code_information":[{"code":"13132","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":473.1,"maximum":856.52,"gross_charge":874,"discounted_cash":582.09,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":714.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":714.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":714.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":606.56,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":473.1,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":559.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":559.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":559.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":782.23,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":782.23,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":655.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":652.88,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":742.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":856.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":583.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":685.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":508.32,"methodology":"fee schedule"}]}]},{"description":"PF LR CPLX H/HN/FT2.6-7.5","code_information":[{"code":"13132","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":226.11,"maximum":856.52,"gross_charge":874,"discounted_cash":582.09,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":714.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":714.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":714.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":687.76,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":536.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":631.91,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":631.91,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":631.91,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":782.23,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":782.23,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":655.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":702.7,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":742.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":856.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":679.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":802.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":593.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":226.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":226.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":226.11,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":226.11,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":226.11,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":226.11,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":226.11,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":226.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":226.11,"methodology":"fee schedule"}]}]},{"description":"CMPLX RPR F/C/C/M/N/AX/G/H/F","code_information":[{"code":"13133","type":"CPT"}],"standard_charges":[{"minimum":99.55,"maximum":99.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"CYSTIC FIBROSIS - PULMONARY DISEASE","code_information":[{"code":"1314","type":"APR-DRG"}],"standard_charges":[{"minimum":56835,"maximum":56835,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":56835,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":56835,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":56835,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":56835,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":56835,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CMPLX RPR E/N/E/L 1.1-2.5 CM","code_information":[{"code":"13151","type":"CPT"}],"standard_charges":[{"minimum":187.55,"maximum":187.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":187.55,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":187.55,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":187.55,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":187.55,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":187.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"CMPLX RPR E/N/E/L 2.6-7.5 CM","code_information":[{"code":"13152","type":"CPT"}],"standard_charges":[{"minimum":387.06,"maximum":387.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"CMPLX RPR E/N/E/L ADDL 5CM/<","code_information":[{"code":"13153","type":"CPT"}],"standard_charges":[{"minimum":109.37,"maximum":109.37,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":109.37,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":109.37,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":109.37,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":109.37,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":109.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF CLOSE WOUND LATE CMPLX","code_information":[{"code":"13160","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":1155.14,"maximum":2091.32,"gross_charge":2134,"discounted_cash":1421.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1743.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1743.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1743.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1481,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1155.14,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1365.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1365.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1365.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1909.93,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1909.93,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1600.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1594.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1813.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2091.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1424.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1673.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1241.14,"methodology":"fee schedule"}]}]},{"description":"PF CLOSE WOUND LATE CMPLX","code_information":[{"code":"13160","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":552.07,"maximum":2091.32,"gross_charge":2134,"discounted_cash":1421.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1743.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1743.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1743.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1679.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1309.85,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1542.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1542.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1542.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1909.93,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1909.93,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1600.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1715.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1813.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2091.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1660.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1959.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1448.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":629.3,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":629.3,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":629.3,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":629.3,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":629.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":552.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":552.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":552.07,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":552.07,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":552.07,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":552.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":552.07,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":552.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":552.07,"methodology":"fee schedule"}]}]},{"description":"BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD","code_information":[{"code":"1321","type":"APR-DRG"}],"standard_charges":[{"minimum":7853,"maximum":7853,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":7853,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":7853,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":7853,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":7853,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":7853,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD","code_information":[{"code":"1322","type":"APR-DRG"}],"standard_charges":[{"minimum":10621,"maximum":10621,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":10621,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":10621,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":10621,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":10621,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":10621,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD","code_information":[{"code":"1323","type":"APR-DRG"}],"standard_charges":[{"minimum":19782,"maximum":19782,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":19782,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":19782,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":19782,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":19782,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":19782,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD","code_information":[{"code":"1324","type":"APR-DRG"}],"standard_charges":[{"minimum":29741,"maximum":29741,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":29741,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":29741,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":29741,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":29741,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":29741,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RESPIRATORY FAILURE","code_information":[{"code":"1331","type":"APR-DRG"}],"standard_charges":[{"minimum":8343,"maximum":8343,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":8343,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":8343,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":8343,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":8343,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":8343,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RESPIRATORY FAILURE","code_information":[{"code":"1332","type":"APR-DRG"}],"standard_charges":[{"minimum":15788,"maximum":15788,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":15788,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":15788,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":15788,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":15788,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":15788,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RESPIRATORY FAILURE","code_information":[{"code":"1333","type":"APR-DRG"}],"standard_charges":[{"minimum":23774,"maximum":23774,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":23774,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":23774,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":23774,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":23774,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":23774,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RESPIRATORY FAILURE","code_information":[{"code":"1334","type":"APR-DRG"}],"standard_charges":[{"minimum":39324,"maximum":39324,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":39324,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":39324,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":39324,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":39324,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":39324,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PULMONARY EMBOLISM","code_information":[{"code":"1341","type":"APR-DRG"}],"standard_charges":[{"minimum":12671,"maximum":12671,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":12671,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":12671,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":12671,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":12671,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":12671,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PULMONARY EMBOLISM","code_information":[{"code":"1342","type":"APR-DRG"}],"standard_charges":[{"minimum":16175,"maximum":16175,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":16175,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":16175,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":16175,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":16175,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":16175,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PULMONARY EMBOLISM","code_information":[{"code":"1343","type":"APR-DRG"}],"standard_charges":[{"minimum":23944,"maximum":23944,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":23944,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":23944,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":23944,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":23944,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":23944,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PULMONARY EMBOLISM","code_information":[{"code":"1344","type":"APR-DRG"}],"standard_charges":[{"minimum":39597,"maximum":39597,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":39597,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":39597,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":39597,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":39597,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":39597,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR CHEST AND RESPIRATORY TRAUMA","code_information":[{"code":"1351","type":"APR-DRG"}],"standard_charges":[{"minimum":15574,"maximum":15574,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":15574,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":15574,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":15574,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":15574,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":15574,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR CHEST AND RESPIRATORY TRAUMA","code_information":[{"code":"1352","type":"APR-DRG"}],"standard_charges":[{"minimum":17812,"maximum":17812,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":17812,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":17812,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":17812,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":17812,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":17812,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR CHEST AND RESPIRATORY TRAUMA","code_information":[{"code":"1353","type":"APR-DRG"}],"standard_charges":[{"minimum":25825,"maximum":25825,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":25825,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":25825,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":25825,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":25825,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":25825,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR CHEST AND RESPIRATORY TRAUMA","code_information":[{"code":"1354","type":"APR-DRG"}],"standard_charges":[{"minimum":45113,"maximum":45113,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":45113,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":45113,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":45113,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":45113,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":45113,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RESPIRATORY MALIGNANCY","code_information":[{"code":"1361","type":"APR-DRG"}],"standard_charges":[{"minimum":13670,"maximum":13670,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":13670,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":13670,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":13670,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":13670,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":13670,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RESPIRATORY MALIGNANCY","code_information":[{"code":"1362","type":"APR-DRG"}],"standard_charges":[{"minimum":18635,"maximum":18635,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":18635,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":18635,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":18635,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":18635,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":18635,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RESPIRATORY MALIGNANCY","code_information":[{"code":"1363","type":"APR-DRG"}],"standard_charges":[{"minimum":26603,"maximum":26603,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":26603,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":26603,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":26603,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":26603,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":26603,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RESPIRATORY MALIGNANCY","code_information":[{"code":"1364","type":"APR-DRG"}],"standard_charges":[{"minimum":39694,"maximum":39694,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":39694,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":39694,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":39694,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":39694,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":39694,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS","code_information":[{"code":"1371","type":"APR-DRG"}],"standard_charges":[{"minimum":13451,"maximum":13451,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":13451,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":13451,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":13451,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":13451,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":13451,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS","code_information":[{"code":"1372","type":"APR-DRG"}],"standard_charges":[{"minimum":17131,"maximum":17131,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":17131,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":17131,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":17131,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":17131,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":17131,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS","code_information":[{"code":"1373","type":"APR-DRG"}],"standard_charges":[{"minimum":20567,"maximum":20567,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":20567,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":20567,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":20567,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":20567,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":20567,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS","code_information":[{"code":"1374","type":"APR-DRG"}],"standard_charges":[{"minimum":38325,"maximum":38325,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":38325,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":38325,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":38325,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":38325,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":38325,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BRONCHIOLITIS AND RSV PNEUMONIA","code_information":[{"code":"1381","type":"APR-DRG"}],"standard_charges":[{"minimum":6360,"maximum":6360,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":6360,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":6360,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":6360,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":6360,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":6360,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BRONCHIOLITIS AND RSV PNEUMONIA","code_information":[{"code":"1382","type":"APR-DRG"}],"standard_charges":[{"minimum":9260,"maximum":9260,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":9260,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":9260,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":9260,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":9260,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":9260,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BRONCHIOLITIS AND RSV PNEUMONIA","code_information":[{"code":"1383","type":"APR-DRG"}],"standard_charges":[{"minimum":14801,"maximum":14801,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":14801,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":14801,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":14801,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":14801,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":14801,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BRONCHIOLITIS AND RSV PNEUMONIA","code_information":[{"code":"1384","type":"APR-DRG"}],"standard_charges":[{"minimum":35035,"maximum":35035,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":35035,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":35035,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":35035,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":35035,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":35035,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER PNEUMONIA","code_information":[{"code":"1391","type":"APR-DRG"}],"standard_charges":[{"minimum":10109,"maximum":10109,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":10109,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":10109,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":10109,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":10109,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":10109,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER PNEUMONIA","code_information":[{"code":"1392","type":"APR-DRG"}],"standard_charges":[{"minimum":13792,"maximum":13792,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":13792,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":13792,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":13792,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":13792,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":13792,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER PNEUMONIA","code_information":[{"code":"1393","type":"APR-DRG"}],"standard_charges":[{"minimum":19672,"maximum":19672,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":19672,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":19672,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":19672,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":19672,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":19672,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER PNEUMONIA","code_information":[{"code":"1394","type":"APR-DRG"}],"standard_charges":[{"minimum":33951,"maximum":33951,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":33951,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":33951,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":33951,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":33951,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":33951,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PF REARRAN TIS TRUNK<=10","code_information":[{"code":"14000","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":838.48,"maximum":1518.02,"gross_charge":1549,"discounted_cash":1031.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1265.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1265.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1265.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1075.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":838.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":991.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":991.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":991.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1386.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1386.36,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1161.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1157.11,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1316.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1518.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1033.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1214.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":900.9,"methodology":"fee schedule"}]}]},{"description":"PF REARRAN TIS TRUNK<=10","code_information":[{"code":"14000","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":257.18,"maximum":1518.02,"gross_charge":1549,"discounted_cash":1031.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1265.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1265.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1265.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1218.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":950.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1119.93,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1119.93,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1119.93,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1386.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1386.36,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1161.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1245.4,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1316.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1518.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1205.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1421.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1051.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.18,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.18,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.18,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":400.73,"methodology":"fee schedule"}]}]},{"description":"REARRANGE TIS TRUNK <=10","code_information":[{"code":"14000","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":782.18,"maximum":1416.1,"gross_charge":1445,"discounted_cash":962.37,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1180.57,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1180.57,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1180.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1002.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":782.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":924.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":924.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":924.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1293.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1293.28,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1083.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1079.42,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1228.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1416.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":964.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1133.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":840.42,"methodology":"fee schedule"}]}]},{"description":"REARRANGE TIS TRUNK <=10","code_information":[{"code":"14000","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":257.18,"maximum":1416.1,"gross_charge":1445,"discounted_cash":962.37,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1180.57,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1180.57,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1180.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1137.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":886.95,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1044.74,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1044.74,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1044.74,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1293.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1293.28,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1083.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1161.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1228.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1416.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1124.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1326.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":981.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.18,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.18,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.18,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":373.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":373.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":373.83,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":373.83,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":373.83,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":373.83,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":373.83,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":373.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":373.83,"methodology":"fee schedule"}]}]},{"description":"RHC REARRAN TIS TRUNK<=10","code_information":[{"code":"14000","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":820.62,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1052.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":820.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1011.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1188.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":881.71,"methodology":"fee schedule"}]}]},{"description":"RHC REARRAN TIS TRUNK<=10","code_information":[{"code":"14000","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":257.18,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1192.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":930.53,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1218.87,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1179.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1391.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1029.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.18,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.18,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.18,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"}]}]},{"description":"PF REARRN TIS TRNK10.1-30","code_information":[{"code":"14001","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":990.04,"maximum":1792.42,"gross_charge":1829,"discounted_cash":1218.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1494.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1494.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1494.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1269.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":990.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1170.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1170.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1170.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1636.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1636.96,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1371.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1366.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1554.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1792.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1220.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1434.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1063.75,"methodology":"fee schedule"}]}]},{"description":"PF REARRN TIS TRNK10.1-30","code_information":[{"code":"14001","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":334.94,"maximum":1792.42,"gross_charge":1829,"discounted_cash":1218.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1494.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1494.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1494.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1439.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1122.65,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1322.37,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1322.37,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1322.37,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1636.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1636.96,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1371.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1470.52,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1554.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1792.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1422.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1679.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1241.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.94,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.94,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.94,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.94,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":473.17,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":473.17,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":473.17,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":473.17,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":473.17,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":473.17,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":473.17,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":473.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":473.17,"methodology":"fee schedule"}]}]},{"description":"RHC REARRN TISTRNK10.1-30","code_information":[{"code":"14001","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":820.62,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1052.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":820.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1011.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1188.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":881.71,"methodology":"fee schedule"}]}]},{"description":"RHC REARRN TISTRNK10.1-30","code_information":[{"code":"14001","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":334.94,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1192.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":930.53,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1218.87,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1179.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1391.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1029.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.94,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.94,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.94,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.94,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"}]}]},{"description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE","code_information":[{"code":"1401","type":"APR-DRG"}],"standard_charges":[{"minimum":11756,"maximum":11756,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":11756,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":11756,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":11756,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":11756,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":11756,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE","code_information":[{"code":"1402","type":"APR-DRG"}],"standard_charges":[{"minimum":14488,"maximum":14488,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":14488,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":14488,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":14488,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":14488,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":14488,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PF REARRAN TIS S/A/L<=10","code_information":[{"code":"14020","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":774.61,"maximum":1402.38,"gross_charge":1431,"discounted_cash":953.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1169.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1169.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1169.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":993.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":774.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":915.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":915.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":915.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1280.75,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1280.75,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1073.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1068.96,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1402.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":955.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1122.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":832.27,"methodology":"fee schedule"}]}]},{"description":"PF REARRAN TIS S/A/L<=10","code_information":[{"code":"14020","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":290.51,"maximum":1402.38,"gross_charge":1431,"discounted_cash":953.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1169.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1169.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1169.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1126.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":878.35,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1034.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1034.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1034.62,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1280.75,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1280.75,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1073.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1150.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1402.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1113.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1313.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":971.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"}]}]},{"description":"RHC REARRAN TIS S/A/L<=10","code_information":[{"code":"14020","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":820.62,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1052.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":820.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1011.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1188.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":881.71,"methodology":"fee schedule"}]}]},{"description":"RHC REARRAN TIS S/A/L<=10","code_information":[{"code":"14020","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":290.51,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1192.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":930.53,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1218.87,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1179.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1391.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1029.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"}]}]},{"description":"RHC REAR TIS S/A/L10.1-30","code_information":[{"code":"14021","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":820.62,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1052.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":820.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1011.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1188.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":881.71,"methodology":"fee schedule"}]}]},{"description":"RHC REAR TIS S/A/L10.1-30","code_information":[{"code":"14021","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":387.06,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1192.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":930.53,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1218.87,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1179.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1391.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1029.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"}]}]},{"description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE","code_information":[{"code":"1403","type":"APR-DRG"}],"standard_charges":[{"minimum":17975,"maximum":17975,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":17975,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":17975,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":17975,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":17975,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":17975,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE","code_information":[{"code":"1404","type":"APR-DRG"}],"standard_charges":[{"minimum":32973,"maximum":32973,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":32973,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":32973,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":32973,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":32973,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":32973,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PF REARRANGE TIS <=10SQCM","code_information":[{"code":"14040","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":987.34,"maximum":1787.52,"gross_charge":1824,"discounted_cash":1214.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1490.21,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1490.21,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1490.21,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1265.86,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":987.34,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1167.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1167.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1167.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1632.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1632.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1368,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1362.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1550.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1787.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1217.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1430.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1060.84,"methodology":"fee schedule"}]}]},{"description":"PF REARRANGE TIS <=10SQCM","code_information":[{"code":"14040","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":387.06,"maximum":1787.52,"gross_charge":1824,"discounted_cash":1214.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1490.21,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1490.21,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1490.21,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1435.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1119.58,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1318.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1318.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1318.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1632.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1632.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1368,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1466.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1550.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1787.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1419.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1674.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1238.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":471.87,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":471.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":471.87,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":471.87,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":471.87,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":471.87,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":471.87,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":471.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":471.87,"methodology":"fee schedule"}]}]},{"description":"RHC REARRAN TIS <=10SQ CM","code_information":[{"code":"14040","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":820.62,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1052.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":820.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1011.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1188.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":881.71,"methodology":"fee schedule"}]}]},{"description":"RHC REARRAN TIS <=10SQ CM","code_information":[{"code":"14040","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":387.06,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1192.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":930.53,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1218.87,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1179.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1391.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1029.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"}]}]},{"description":"RHC REARR TIS 10.1-30SQCM","code_information":[{"code":"14041","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":820.62,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1052.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":820.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1011.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1188.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":881.71,"methodology":"fee schedule"}]}]},{"description":"RHC REARR TIS 10.1-30SQCM","code_information":[{"code":"14041","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":392.19,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1192.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":930.53,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1218.87,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1179.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1391.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1029.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"}]}]},{"description":"RHC REARR TIS EEN LIP<=10","code_information":[{"code":"14060","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":820.62,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1052.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":820.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1011.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1188.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":881.71,"methodology":"fee schedule"}]}]},{"description":"RHC REARR TIS EEN LIP<=10","code_information":[{"code":"14060","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":392.19,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1192.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":930.53,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1218.87,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1179.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1391.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1029.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"}]}]},{"description":"RHC REAR TIS EEN L10.1-30","code_information":[{"code":"14061","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":820.62,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1052.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":820.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1011.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1188.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":881.71,"methodology":"fee schedule"}]}]},{"description":"RHC REAR TIS EEN L10.1-30","code_information":[{"code":"14061","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":392.19,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1192.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":930.53,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1218.87,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1179.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1391.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1029.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":850.17,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":850.17,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":850.17,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":850.17,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":850.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"}]}]},{"description":"ASTHMA","code_information":[{"code":"1411","type":"APR-DRG"}],"standard_charges":[{"minimum":8603,"maximum":8603,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":8603,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":8603,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":8603,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":8603,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":8603,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ASTHMA","code_information":[{"code":"1412","type":"APR-DRG"}],"standard_charges":[{"minimum":12599,"maximum":12599,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":12599,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":12599,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":12599,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":12599,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":12599,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ASTHMA","code_information":[{"code":"1413","type":"APR-DRG"}],"standard_charges":[{"minimum":14947,"maximum":14947,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":14947,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":14947,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":14947,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":14947,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":14947,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ASTHMA","code_information":[{"code":"1414","type":"APR-DRG"}],"standard_charges":[{"minimum":29177,"maximum":29177,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":29177,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":29177,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":29177,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":29177,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":29177,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"INTERSTITIAL AND ALVEOLAR LUNG DISEASES","code_information":[{"code":"1421","type":"APR-DRG"}],"standard_charges":[{"minimum":13575,"maximum":13575,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":13575,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":13575,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":13575,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":13575,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":13575,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"INTERSTITIAL AND ALVEOLAR LUNG DISEASES","code_information":[{"code":"1422","type":"APR-DRG"}],"standard_charges":[{"minimum":15977,"maximum":15977,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":15977,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":15977,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":15977,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":15977,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":15977,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"INTERSTITIAL AND ALVEOLAR LUNG DISEASES","code_information":[{"code":"1423","type":"APR-DRG"}],"standard_charges":[{"minimum":23210,"maximum":23210,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":23210,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":23210,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":23210,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":23210,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":23210,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"INTERSTITIAL AND ALVEOLAR LUNG DISEASES","code_information":[{"code":"1424","type":"APR-DRG"}],"standard_charges":[{"minimum":39862,"maximum":39862,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":39862,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":39862,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":39862,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":39862,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":39862,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PF REARRAN TIS ANY30.1-60","code_information":[{"code":"14301","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":1513.48,"maximum":2740.08,"gross_charge":2796,"discounted_cash":1862.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2284.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":2284.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":2284.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1940.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1513.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1789.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1789.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1789.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2502.42,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":2502.42,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2097,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":2088.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":2376.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2740.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1866.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":2192.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1626.16,"methodology":"fee schedule"}]}]},{"description":"PF REARRAN TIS ANY30.1-60","code_information":[{"code":"14301","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":723.33,"maximum":2740.08,"gross_charge":2796,"discounted_cash":1862.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2284.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":2284.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":2284.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2200.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1716.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":2021.51,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":2021.51,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":2021.51,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2502.42,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":2502.42,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2097,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":2247.99,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":2376.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2740.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":2175.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":2566.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1898.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":888.68,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":888.68,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":888.68,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":888.68,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":888.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":723.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":723.33,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":723.33,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":723.33,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":723.33,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":723.33,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":723.33,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":723.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":723.33,"methodology":"fee schedule"}]}]},{"description":"RHC REARRA TIS ANY30.1-60","code_information":[{"code":"14301","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":1136.73,"maximum":2058,"gross_charge":2100,"discounted_cash":1398.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1715.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1715.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1715.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1457.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1136.73,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1344,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1344,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1344,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1879.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1879.5,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1575,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1568.7,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1785,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2058,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1401.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1646.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1221.36,"methodology":"fee schedule"}]}]},{"description":"RHC REARRA TIS ANY30.1-60","code_information":[{"code":"14301","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":543.27,"maximum":2058,"gross_charge":2100,"discounted_cash":1398.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1715.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1715.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1715.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1652.49,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1288.98,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1518.3,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1518.3,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1518.3,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1879.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1879.5,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1575,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1688.4,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1785,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2058,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1633.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1927.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1425.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":888.68,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":888.68,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":888.68,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":888.68,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":888.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":543.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":543.27,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":543.27,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":543.27,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":543.27,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":543.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":543.27,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":543.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":543.27,"methodology":"fee schedule"}]}]},{"description":"TIS TRNFR ADDL 30 SQ CM","code_information":[{"code":"14302","type":"CPT"}],"standard_charges":[{"minimum":189.5,"maximum":189.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":189.5,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":189.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":189.5,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":189.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":189.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS SYMPTOMS AND MISCELLANEOUS DIAGNOSES","code_information":[{"code":"1431","type":"APR-DRG"}],"standard_charges":[{"minimum":11241,"maximum":11241,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":11241,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":11241,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":11241,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":11241,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":11241,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS SYMPTOMS AND MISCELLANEOUS DIAGNOSES","code_information":[{"code":"1432","type":"APR-DRG"}],"standard_charges":[{"minimum":15706,"maximum":15706,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":15706,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":15706,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":15706,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":15706,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":15706,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS SYMPTOMS AND MISCELLANEOUS DIAGNOSES","code_information":[{"code":"1433","type":"APR-DRG"}],"standard_charges":[{"minimum":23241,"maximum":23241,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":23241,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":23241,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":23241,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":23241,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":23241,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS SYMPTOMS AND MISCELLANEOUS DIAGNOSES","code_information":[{"code":"1434","type":"APR-DRG"}],"standard_charges":[{"minimum":37296,"maximum":37296,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":37296,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":37296,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":37296,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":37296,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":37296,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RHC FILLETED FINGER/TOE","code_information":[{"code":"14350","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":1082.6,"maximum":1960,"gross_charge":2000,"discounted_cash":1332,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1388,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1082.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1280,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1280,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1280,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1790,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1790,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1500,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1494,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1700,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1960,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1334.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1568.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1163.2,"methodology":"fee schedule"}]}]},{"description":"RHC FILLETED FINGER/TOE","code_information":[{"code":"14350","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":517.4,"maximum":1960,"gross_charge":2000,"discounted_cash":1332,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1573.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1227.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1446,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1446,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1446,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1790,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1790,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1500,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1608,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1700,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1960,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1556,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1836,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1358,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":577.18,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":577.18,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":577.18,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":577.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":577.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"}]}]},{"description":"RESPIRATORY SIGNS SYMPTOMS AND MISCELLANEOUS DIAGNOSES","code_information":[{"code":"1441","type":"APR-DRG"}],"standard_charges":[{"minimum":10902,"maximum":10902,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":10902,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":10902,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":10902,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":10902,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":10902,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RESPIRATORY SIGNS SYMPTOMS AND MISCELLANEOUS DIAGNOSES","code_information":[{"code":"1442","type":"APR-DRG"}],"standard_charges":[{"minimum":14225,"maximum":14225,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":14225,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":14225,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":14225,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":14225,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":14225,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RESPIRATORY SIGNS SYMPTOMS AND MISCELLANEOUS DIAGNOSES","code_information":[{"code":"1443","type":"APR-DRG"}],"standard_charges":[{"minimum":21250,"maximum":21250,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":21250,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":21250,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":21250,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":21250,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":21250,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RESPIRATORY SIGNS SYMPTOMS AND MISCELLANEOUS DIAGNOSES","code_information":[{"code":"1444","type":"APR-DRG"}],"standard_charges":[{"minimum":35945,"maximum":35945,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":35945,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":35945,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":35945,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":35945,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":35945,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ACUTE BRONCHITIS AND RELATED SYMPTOMS","code_information":[{"code":"1451","type":"APR-DRG"}],"standard_charges":[{"minimum":10374,"maximum":10374,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":10374,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":10374,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":10374,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":10374,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":10374,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ACUTE BRONCHITIS AND RELATED SYMPTOMS","code_information":[{"code":"1452","type":"APR-DRG"}],"standard_charges":[{"minimum":13106,"maximum":13106,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":13106,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":13106,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":13106,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":13106,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":13106,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ACUTE BRONCHITIS AND RELATED SYMPTOMS","code_information":[{"code":"1453","type":"APR-DRG"}],"standard_charges":[{"minimum":17307,"maximum":17307,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":17307,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":17307,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":17307,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":17307,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":17307,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ACUTE BRONCHITIS AND RELATED SYMPTOMS","code_information":[{"code":"1454","type":"APR-DRG"}],"standard_charges":[{"minimum":31005,"maximum":31005,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":31005,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":31005,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":31005,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":31005,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":31005,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"INST/SUPP STERL 23X-30","code_information":[{"code":"145505515","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":54.68,"maximum":98.98,"gross_charge":101,"discounted_cash":67.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.52,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":82.52,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":82.52,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":54.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":64.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":64.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":64.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":90.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":90.4,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":75.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":75.45,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":85.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":98.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":67.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":79.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":58.75,"methodology":"fee schedule"}]}]},{"description":"INST/SUPP STERL 23X-30","code_information":[{"code":"145505515","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":26.13,"maximum":98.98,"gross_charge":101,"discounted_cash":67.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.52,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":82.52,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":82.52,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":73.03,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":73.03,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":73.03,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":90.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":90.4,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":75.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":81.21,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":85.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":98.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":78.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":92.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":68.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":26.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":26.13,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":26.13,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":26.13,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":26.13,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":26.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":26.13,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":26.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":26.13,"methodology":"fee schedule"}]}]},{"description":"PF PREP STE TAL 1ST 100CM","code_information":[{"code":"15002","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":328.57,"maximum":594.86,"gross_charge":607,"discounted_cash":404.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":495.92,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":495.92,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":495.92,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":421.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":328.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":388.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":388.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":388.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.27,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":543.27,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":455.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":453.43,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":515.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":594.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":405.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":475.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":353.04,"methodology":"fee schedule"}]}]},{"description":"PF PREP STE TAL 1ST 100CM","code_information":[{"code":"15002","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":157.04,"maximum":594.86,"gross_charge":607,"discounted_cash":404.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":495.92,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":495.92,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":495.92,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":477.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":372.58,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":438.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":438.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":438.87,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.27,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":543.27,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":455.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":488.03,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":515.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":594.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":472.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":557.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":412.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":270.29,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":270.29,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":270.29,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":270.29,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":270.29,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":157.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":157.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":157.04,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":157.04,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":157.04,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":157.04,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":157.04,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":157.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":157.04,"methodology":"fee schedule"}]}]},{"description":"WOUND PREP ADDL 100 CM","code_information":[{"code":"15003","type":"CPT"}],"standard_charges":[{"minimum":59.94,"maximum":59.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.94,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.94,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.94,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.94,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF PREP STE FNHFG 1ST 100","code_information":[{"code":"15004","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":368.63,"maximum":667.38,"gross_charge":681,"discounted_cash":453.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":472.62,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":368.63,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":435.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":435.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":435.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":609.5,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":510.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":508.71,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":578.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":667.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":454.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":533.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":396.07,"methodology":"fee schedule"}]}]},{"description":"PF PREP STE FNHFG 1ST 100","code_information":[{"code":"15004","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":176.18,"maximum":667.38,"gross_charge":681,"discounted_cash":453.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":556.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":535.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":492.37,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":492.37,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":492.37,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":609.5,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":510.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":547.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":578.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":667.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":529.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":625.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":462.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":325.02,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":325.02,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":325.02,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":325.02,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":325.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":176.18,"methodology":"fee schedule"}]}]},{"description":"WND PREP F/N/HF/G ADDL CM","code_information":[{"code":"15005","type":"CPT"}],"standard_charges":[{"minimum":100.15,"maximum":100.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.15,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.15,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.15,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.15,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.15,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"HARVEST CULTURED SKIN GRAFT","code_information":[{"code":"15040","type":"CPT"}],"standard_charges":[{"minimum":247.36,"maximum":247.36,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":247.36,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":247.36,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":247.36,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":247.36,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":247.36,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"RHC GRFT PINCH DIGIT<=2CM","code_information":[{"code":"15050","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":210.57,"maximum":381.22,"gross_charge":389,"discounted_cash":259.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":269.97,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":210.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":248.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":248.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":248.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":348.16,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":291.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":290.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":330.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":381.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":259.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":305.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":226.25,"methodology":"fee schedule"}]}]},{"description":"RHC GRFT PINCH DIGIT<=2CM","code_information":[{"code":"15050","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":100.64,"maximum":381.22,"gross_charge":389,"discounted_cash":259.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":317.82,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":306.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":238.77,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":281.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":281.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":281.25,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":348.16,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":291.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":312.76,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":330.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":381.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":302.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":357.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":264.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":182,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":182,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":182,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":182,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":182,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"}]}]},{"description":"RHC AUTGRSPLT T/A/L 1 100","code_information":[{"code":"15100","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":1082.6,"maximum":1960,"gross_charge":2000,"discounted_cash":1332,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1388,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1082.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1280,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1280,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1280,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1790,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1790,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1500,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1494,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1700,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1960,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1334.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1568.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1163.2,"methodology":"fee schedule"}]}]},{"description":"RHC AUTGRSPLT T/A/L 1 100","code_information":[{"code":"15100","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":304.61,"maximum":1960,"gross_charge":2000,"discounted_cash":1332,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1573.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1227.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1446,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1446,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1446,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1790,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1790,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1500,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1608,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1700,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1960,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1556,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1836,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1358,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":304.61,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":304.61,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":304.61,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":304.61,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":304.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"}]}]},{"description":"SKIN SPLT GRFT T/A/L ADD-ON","code_information":[{"code":"15101","type":"CPT"}],"standard_charges":[{"minimum":58.1,"maximum":58.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"EPIDRM AUTOGRFT TRNK/ARM/LEG","code_information":[{"code":"15110","type":"CPT"}],"standard_charges":[{"minimum":764.73,"maximum":764.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":764.73,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":764.73,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":764.73,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":764.73,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":764.73,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"EPIDRM AUTOGRFT T/A/L ADD-ON","code_information":[{"code":"15111","type":"CPT"}],"standard_charges":[{"minimum":119.19,"maximum":119.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.19,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"EPIDRM A-GRFT FACE/NCK/HF/G","code_information":[{"code":"15115","type":"CPT"}],"standard_charges":[{"minimum":716.45,"maximum":716.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":716.45,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":716.45,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":716.45,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":716.45,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":716.45,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"EPIDRM A-GRFT F/N/HF/G ADDL","code_information":[{"code":"15116","type":"CPT"}],"standard_charges":[{"minimum":154.23,"maximum":154.23,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":154.23,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":154.23,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":154.23,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":154.23,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":154.23,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PFAUTOGR F/H/G SPLT 1 100","code_information":[{"code":"15120","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":1067.45,"maximum":1932.56,"gross_charge":1972,"discounted_cash":1313.36,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1611.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1611.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1611.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1368.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1067.45,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1262.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1262.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1262.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1764.94,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1764.94,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1479,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1473.09,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1676.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1932.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1316.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1546.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1146.92,"methodology":"fee schedule"}]}]},{"description":"PFAUTOGR F/H/G SPLT 1 100","code_information":[{"code":"15120","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":510.16,"maximum":1932.56,"gross_charge":1972,"discounted_cash":1313.36,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1611.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1611.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1611.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1551.77,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1210.42,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1425.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1425.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1425.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1764.94,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1764.94,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1479,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1585.49,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1676.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1932.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1534.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1810.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1338.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":532.32,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":532.32,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":532.32,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":532.32,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":532.32,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":510.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":510.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":510.16,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":510.16,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":510.16,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":510.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":510.16,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":510.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":510.16,"methodology":"fee schedule"}]}]},{"description":"RHC AUTOGR FHG SPLT 1 100","code_information":[{"code":"15120","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":1082.6,"maximum":1960,"gross_charge":2000,"discounted_cash":1332,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1388,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1082.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1280,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1280,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1280,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1790,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1790,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1500,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1494,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1700,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1960,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1334.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1568.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1163.2,"methodology":"fee schedule"}]}]},{"description":"RHC AUTOGR FHG SPLT 1 100","code_information":[{"code":"15120","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":517.4,"maximum":1960,"gross_charge":2000,"discounted_cash":1332,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1573.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1227.6,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1446,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1446,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1446,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1790,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1790,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1500,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1608,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1700,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1960,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1556,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1836,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1358,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":532.32,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":532.32,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":532.32,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":532.32,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":532.32,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":517.4,"methodology":"fee schedule"}]}]},{"description":"SKN SPLT A-GRFT F/N/HF/G ADD","code_information":[{"code":"15121","type":"CPT"}],"standard_charges":[{"minimum":96.98,"maximum":96.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DERM AUTOGRAFT TRNK/ARM/LEG","code_information":[{"code":"15130","type":"CPT"}],"standard_charges":[{"minimum":639.55,"maximum":639.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":639.55,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":639.55,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":639.55,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":639.55,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":639.55,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DERM AUTOGRAFT T/A/L ADD-ON","code_information":[{"code":"15131","type":"CPT"}],"standard_charges":[{"minimum":97.4,"maximum":97.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":97.4,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":97.4,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":97.4,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":97.4,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":97.4,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DERM AUTOGRAFT FACE/NCK/HF/G","code_information":[{"code":"15135","type":"CPT"}],"standard_charges":[{"minimum":766.86,"maximum":766.86,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":766.86,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":766.86,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":766.86,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":766.86,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":766.86,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DERM AUTOGRAFT F/N/HF/G ADD","code_information":[{"code":"15136","type":"CPT"}],"standard_charges":[{"minimum":90.57,"maximum":90.57,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.57,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.57,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.57,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PFAUTOGR T/A/L TC 1ST<=25","code_information":[{"code":"15150","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":856.34,"maximum":1550.36,"gross_charge":1582,"discounted_cash":1053.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1292.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1292.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1292.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1097.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":856.34,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1012.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1012.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1012.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1415.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1415.89,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1186.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1181.76,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1344.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1550.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1055.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1240.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":920.1,"methodology":"fee schedule"}]}]},{"description":"PFAUTOGR T/A/L TC 1ST<=25","code_information":[{"code":"15150","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":409.27,"maximum":1550.36,"gross_charge":1582,"discounted_cash":1053.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1292.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1292.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1292.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1244.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":971.04,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1143.79,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1143.79,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1143.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1415.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1415.89,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1186.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1271.93,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1344.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1550.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1230.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1452.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1074.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":633.57,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":633.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":633.57,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":633.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":633.57,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":409.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":409.27,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":409.27,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":409.27,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":409.27,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":409.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":409.27,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":409.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":409.27,"methodology":"fee schedule"}]}]},{"description":"CULT SKIN GRFT T/A/L ADDL","code_information":[{"code":"15151","type":"CPT"}],"standard_charges":[{"minimum":125.61,"maximum":125.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":125.61,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":125.61,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":125.61,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":125.61,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":125.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"CULT SKIN GRAFT T/A/L +%","code_information":[{"code":"15152","type":"CPT"}],"standard_charges":[{"minimum":154.23,"maximum":154.23,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":154.23,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":154.23,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":154.23,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":154.23,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":154.23,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"CULT SKIN GRAFT F/N/HF/G","code_information":[{"code":"15155","type":"CPT"}],"standard_charges":[{"minimum":632.72,"maximum":632.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":632.72,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":632.72,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":632.72,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":632.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":632.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"CULT SKIN GRFT F/N/HFG ADD","code_information":[{"code":"15156","type":"CPT"}],"standard_charges":[{"minimum":162.78,"maximum":162.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":162.78,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":162.78,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":162.78,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":162.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":162.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"CULT EPIDERM GRFT F/N/HFG +%","code_information":[{"code":"15157","type":"CPT"}],"standard_charges":[{"minimum":180.71,"maximum":180.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":180.71,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":180.71,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":180.71,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":180.71,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":180.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"RHC GRAFT FULL TRUNK <=20","code_information":[{"code":"15200","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":820.62,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1052.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":820.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1011.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1188.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":881.71,"methodology":"fee schedule"}]}]},{"description":"RHC GRAFT FULL TRUNK <=20","code_information":[{"code":"15200","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":337.51,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1192.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":930.53,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1218.87,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1179.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1391.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1029.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":337.51,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":337.51,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":337.51,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":337.51,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":337.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"}]}]},{"description":"RHC GRFT FULL TRNK EA ADD","code_information":[{"code":"15201","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":820.62,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1052.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":820.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1011.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1188.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":881.71,"methodology":"fee schedule"}]}]},{"description":"RHC GRFT FULL TRNK EA ADD","code_information":[{"code":"15201","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":88,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1192.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":930.53,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1218.87,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1179.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1391.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1029.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":88,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":88,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":88,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":88,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":88,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"}]}]},{"description":"RHC GRFT FULL S/A/L <=20","code_information":[{"code":"15220","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":820.62,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1052.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":820.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1011.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1188.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":881.71,"methodology":"fee schedule"}]}]},{"description":"RHC GRFT FULL S/A/L <=20","code_information":[{"code":"15220","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":338.36,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1192.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":930.53,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1218.87,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1179.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1391.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1029.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":338.36,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":338.36,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":338.36,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":338.36,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":338.36,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"}]}]},{"description":"RHCGRFT FULL S/A/L ADD-ON","code_information":[{"code":"15221","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":227.35,"maximum":411.6,"gross_charge":420,"discounted_cash":279.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":343.14,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":343.14,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":343.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":291.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":227.35,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":268.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":268.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":268.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":375.9,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":375.9,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":315,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":313.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":357,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":280.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":329.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":244.28,"methodology":"fee schedule"}]}]},{"description":"RHCGRFT FULL S/A/L ADD-ON","code_information":[{"code":"15221","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":108.66,"maximum":411.6,"gross_charge":420,"discounted_cash":279.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":343.14,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":343.14,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":343.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":257.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":303.66,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":303.66,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":303.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":375.9,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":375.9,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":315,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":337.68,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":357,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":326.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":385.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":285.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":128.17,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":128.17,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":128.17,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":128.17,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":128.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"}]}]},{"description":"RHC GRFT FUL F/N/HF/G<=20","code_information":[{"code":"15240","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":774.61,"maximum":1402.38,"gross_charge":1431,"discounted_cash":953.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1169.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1169.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1169.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":993.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":774.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":915.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":915.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":915.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1280.75,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1280.75,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1073.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1068.96,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1402.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":955.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1122.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":832.27,"methodology":"fee schedule"}]}]},{"description":"RHC GRFT FUL F/N/HF/G<=20","code_information":[{"code":"15240","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":370.2,"maximum":1402.38,"gross_charge":1431,"discounted_cash":953.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1169.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1169.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1169.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1126.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":878.35,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1034.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1034.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1034.62,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1280.75,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1280.75,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1073.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1150.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1402.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1113.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1313.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":971.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":370.2,"methodology":"fee schedule"}]}]},{"description":"RHC GRFT FULL F/N/H/G ADD","code_information":[{"code":"15241","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":227.35,"maximum":411.6,"gross_charge":420,"discounted_cash":279.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":343.14,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":343.14,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":343.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":291.48,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":227.35,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":268.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":268.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":268.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":375.9,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":375.9,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":315,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":313.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":357,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":280.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":329.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":244.28,"methodology":"fee schedule"}]}]},{"description":"RHC GRFT FULL F/N/H/G ADD","code_information":[{"code":"15241","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":108.66,"maximum":411.6,"gross_charge":420,"discounted_cash":279.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":343.14,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":343.14,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":343.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":257.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":303.66,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":303.66,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":303.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":375.9,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":375.9,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":315,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":337.68,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":357,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":326.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":385.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":285.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":170.89,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":170.89,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":170.89,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":170.89,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":170.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":108.66,"methodology":"fee schedule"}]}]},{"description":"SKIN FULL GRAFT EEN  LIPS","code_information":[{"code":"15260","type":"CPT"}],"standard_charges":[{"minimum":484.05,"maximum":484.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"RHCGRFTFULL EEN LIP ADDON","code_information":[{"code":"15261","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":820.62,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1052.11,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":820.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":970.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1011.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1188.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":881.71,"methodology":"fee schedule"}]}]},{"description":"RHCGRFTFULL EEN LIP ADDON","code_information":[{"code":"15261","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":213.61,"maximum":1485.68,"gross_charge":1516,"discounted_cash":1009.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1238.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1192.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":930.53,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1096.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1356.82,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1218.87,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1179.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1391.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1029.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":392.19,"methodology":"fee schedule"}]}]},{"description":"PF AP SK HI GR T/AL<100 1","code_information":[{"code":"15271","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":123.96,"maximum":224.42,"gross_charge":229,"discounted_cash":152.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":187.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":187.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":187.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.93,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":123.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":146.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":146.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":146.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":204.96,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":171.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":171.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":194.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":224.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":152.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":179.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":133.19,"methodology":"fee schedule"}]}]},{"description":"PF AP SK HI GR T/AL<100 1","code_information":[{"code":"15271","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":59.25,"maximum":224.42,"gross_charge":229,"discounted_cash":152.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":187.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":187.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":187.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":180.21,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":140.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":165.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":165.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":165.57,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":204.96,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":171.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":184.12,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":194.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":224.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":178.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":210.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":155.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.85,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.85,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.85,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"}]}]},{"description":"RHC SK HI GR T/A/L<100 1","code_information":[{"code":"15271","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":123.96,"maximum":224.42,"gross_charge":229,"discounted_cash":152.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":187.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":187.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":187.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.93,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":123.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":146.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":146.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":146.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":204.96,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":171.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":171.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":194.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":224.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":152.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":179.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":133.19,"methodology":"fee schedule"}]}]},{"description":"RHC SK HI GR T/A/L<100 1","code_information":[{"code":"15271","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":59.25,"maximum":224.42,"gross_charge":229,"discounted_cash":152.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":187.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":187.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":187.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":180.21,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":140.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":165.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":165.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":165.57,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":204.96,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":171.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":184.12,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":194.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":224.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":178.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":210.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":155.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.85,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.85,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.85,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"}]}]},{"description":"PF AP HI GR T/A/L<100 ADD","code_information":[{"code":"15272","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":25.45,"maximum":46.06,"gross_charge":47,"discounted_cash":31.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.62,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":25.45,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":30.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":30.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":30.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":42.07,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":35.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":35.11,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":39.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":31.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":36.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":27.34,"methodology":"fee schedule"}]}]},{"description":"PF AP HI GR T/A/L<100 ADD","code_information":[{"code":"15272","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":12.16,"maximum":46.06,"gross_charge":47,"discounted_cash":31.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":28.85,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":33.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":33.99,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":33.99,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":42.07,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":35.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":37.79,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":39.95,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":36.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":43.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":31.92,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.42,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.42,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.42,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.42,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"}]}]},{"description":"RHC SK LO GR T/A/L<100 AD","code_information":[{"code":"15272","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":26.53,"maximum":48.02,"gross_charge":49,"discounted_cash":32.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":40.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":40.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":26.53,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":31.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":31.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":31.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.86,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":43.86,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":36.61,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":41.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":32.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":38.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":28.5,"methodology":"fee schedule"}]}]},{"description":"RHC SK LO GR T/A/L<100 AD","code_information":[{"code":"15272","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":12.68,"maximum":48.02,"gross_charge":49,"discounted_cash":32.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":40.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":40.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.56,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":30.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":35.43,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":35.43,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":35.43,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.86,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":43.86,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":39.4,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":41.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":38.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":44.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":33.28,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.42,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.42,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.42,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.42,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":12.68,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":12.68,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":12.68,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":12.68,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":12.68,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":12.68,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":12.68,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":12.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":12.68,"methodology":"fee schedule"}]}]},{"description":"SKIN SUB GRFT T/ARM/LG CHILD","code_information":[{"code":"15273","type":"CPT"}],"standard_charges":[{"minimum":197.34,"maximum":197.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":197.34,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":197.34,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":197.34,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":197.34,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":197.34,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"SKN SUB GRFT T/A/L CHILD ADD","code_information":[{"code":"15274","type":"CPT"}],"standard_charges":[{"minimum":42.05,"maximum":42.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.05,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.05,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.05,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.05,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF AP SK HI GR F/NG<100 1","code_information":[{"code":"15275","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":148.86,"maximum":269.5,"gross_charge":275,"discounted_cash":183.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":190.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":148.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":176,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":176,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":176,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.13,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":246.13,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":206.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":205.43,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":233.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":269.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":183.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":215.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":159.94,"methodology":"fee schedule"}]}]},{"description":"PF AP SK HI GR F/NG<100 1","code_information":[{"code":"15275","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":71.15,"maximum":269.5,"gross_charge":275,"discounted_cash":183.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":216.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":168.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":198.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":198.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":198.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.13,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":246.13,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":206.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":221.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":233.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":269.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":213.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":252.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":186.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.35,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.35,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.35,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.35,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.35,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"}]}]},{"description":"RHC SK LO GR F/N/G<100 1","code_information":[{"code":"15275","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":148.86,"maximum":269.5,"gross_charge":275,"discounted_cash":183.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":190.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":148.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":176,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":176,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":176,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.13,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":246.13,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":206.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":205.43,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":233.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":269.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":183.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":215.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":159.94,"methodology":"fee schedule"}]}]},{"description":"RHC SK LO GR F/N/G<100 1","code_information":[{"code":"15275","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":71.15,"maximum":269.5,"gross_charge":275,"discounted_cash":183.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":216.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":168.8,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":198.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":198.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":198.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.13,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":246.13,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":206.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":221.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":233.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":269.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":213.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":252.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":186.73,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.35,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.35,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.35,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.35,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.35,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":71.15,"methodology":"fee schedule"}]}]},{"description":"PF AP SK HI GR F/NG<100AD","code_information":[{"code":"15276","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":37.35,"maximum":67.62,"gross_charge":69,"discounted_cash":45.96,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":56.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":56.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":37.35,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":61.76,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":51.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":51.55,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":58.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":46.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":54.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":40.14,"methodology":"fee schedule"}]}]},{"description":"PF AP SK HI GR F/NG<100AD","code_information":[{"code":"15276","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":17.86,"maximum":67.62,"gross_charge":69,"discounted_cash":45.96,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":56.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":56.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":42.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":49.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":49.89,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":49.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":61.76,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":51.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":55.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":58.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":53.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":63.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":46.86,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.25,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.25,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":17.86,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":17.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":17.86,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":17.86,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":17.86,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":17.86,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":17.86,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":17.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":17.86,"methodology":"fee schedule"}]}]},{"description":"RHC SK HI GR F/N/G<100 AD","code_information":[{"code":"15276","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":38.98,"maximum":70.56,"gross_charge":72,"discounted_cash":47.96,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":58.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":58.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.97,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":38.98,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":64.44,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":54,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":53.79,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":61.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":48.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":56.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":41.88,"methodology":"fee schedule"}]}]},{"description":"RHC SK HI GR F/N/G<100 AD","code_information":[{"code":"15276","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":18.63,"maximum":70.56,"gross_charge":72,"discounted_cash":47.96,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":58.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":58.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":44.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":52.06,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":52.06,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":52.06,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":64.44,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":54,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":57.89,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":61.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":56.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":66.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":48.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.25,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.25,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":18.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":18.63,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":18.63,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":18.63,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":18.63,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":18.63,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":18.63,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":18.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":18.63,"methodology":"fee schedule"}]}]},{"description":"SKN SUB GRFT F/N/HF/G CHILD","code_information":[{"code":"15277","type":"CPT"}],"standard_charges":[{"minimum":203.28,"maximum":203.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":203.28,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":203.28,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":203.28,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":203.28,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":203.28,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"SKN SUB GRFT F/N/HF/G CH ADD","code_information":[{"code":"15278","type":"CPT"}],"standard_charges":[{"minimum":51.94,"maximum":51.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.94,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.94,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.94,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.94,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"SKIN PEDICLE FLAP TRUNK","code_information":[{"code":"15570","type":"CPT"}],"standard_charges":[{"minimum":662.2,"maximum":662.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":662.2,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":662.2,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":662.2,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":662.2,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":662.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"SKIN PEDICLE FLAP ARMS/LEGS","code_information":[{"code":"15572","type":"CPT"}],"standard_charges":[{"minimum":628.01,"maximum":628.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":628.01,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":628.01,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":628.01,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":628.01,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":628.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PEDCLE FH/CH/CH/M/N/AX/G/H/F","code_information":[{"code":"15574","type":"CPT"}],"standard_charges":[{"minimum":666.04,"maximum":666.04,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":666.04,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":666.04,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":666.04,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":666.04,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":666.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PEDICLE E/N/E/L/NTRORAL","code_information":[{"code":"15576","type":"CPT"}],"standard_charges":[{"minimum":362.71,"maximum":362.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":362.71,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":362.71,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":362.71,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":362.71,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":362.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DELAY FLAP TRUNK","code_information":[{"code":"15600","type":"CPT"}],"standard_charges":[{"minimum":193.53,"maximum":193.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DELAY FLAP ARMS/LEGS","code_information":[{"code":"15610","type":"CPT"}],"standard_charges":[{"minimum":213.61,"maximum":213.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DELAY FLAP F/C/C/N/AX/G/H/F","code_information":[{"code":"15620","type":"CPT"}],"standard_charges":[{"minimum":290.51,"maximum":290.51,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DELAY FLAP EYE/NOS/EAR/LIP","code_information":[{"code":"15630","type":"CPT"}],"standard_charges":[{"minimum":290.51,"maximum":290.51,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"TRANSFER SKIN PEDICLE FLAP","code_information":[{"code":"15650","type":"CPT"}],"standard_charges":[{"minimum":253.69,"maximum":253.69,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":253.69,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":253.69,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":253.69,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":253.69,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":253.69,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"MDFC FLAP W/PRSRV VASC PEDCL","code_information":[{"code":"15730","type":"CPT"}],"standard_charges":[{"minimum":1393.89,"maximum":1393.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":1393.89,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":1393.89,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":1393.89,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":1393.89,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":1393.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"FOREHEAD FLAP W/VASC PEDICLE","code_information":[{"code":"15731","type":"CPT"}],"standard_charges":[{"minimum":896.5,"maximum":896.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":896.5,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":896.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":896.5,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":896.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":896.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"MUSC MYOQ/FSCQ FLP HN PEDCL","code_information":[{"code":"15733","type":"CPT"}],"standard_charges":[{"minimum":915.49,"maximum":915.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":915.49,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":915.49,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":915.49,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":915.49,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":915.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"MUSCLE-SKIN GRAFT TRUNK","code_information":[{"code":"15734","type":"CPT"}],"standard_charges":[{"minimum":1078.31,"maximum":1078.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":1078.31,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":1078.31,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":1078.31,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":1078.31,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":1078.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"MUSCLE-SKIN GRAFT ARM","code_information":[{"code":"15736","type":"CPT"}],"standard_charges":[{"minimum":995.43,"maximum":995.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":995.43,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":995.43,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":995.43,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":995.43,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":995.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"MUSCLE-SKIN GRAFT LEG","code_information":[{"code":"15738","type":"CPT"}],"standard_charges":[{"minimum":1079.59,"maximum":1079.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":1079.59,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":1079.59,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":1079.59,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":1079.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":1079.59,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"ISLAND PEDICLE FLAP GRAFT","code_information":[{"code":"15740","type":"CPT"}],"standard_charges":[{"minimum":580.6,"maximum":580.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":580.6,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":580.6,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":580.6,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":580.6,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":580.6,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"NEUROVASCULAR PEDICLE FLAP","code_information":[{"code":"15750","type":"CPT"}],"standard_charges":[{"minimum":484.05,"maximum":484.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"FREE MYO/SKIN FLAP MICROVASC","code_information":[{"code":"15756","type":"CPT"}],"standard_charges":[{"minimum":2121.58,"maximum":2121.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":2121.58,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":2121.58,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":2121.58,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":2121.58,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":2121.58,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"FREE SKIN FLAP MICROVASC","code_information":[{"code":"15757","type":"CPT"}],"standard_charges":[{"minimum":2135.68,"maximum":2135.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":2135.68,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":2135.68,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":2135.68,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":2135.68,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":2135.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"FREE FASCIAL FLAP MICROVASC","code_information":[{"code":"15758","type":"CPT"}],"standard_charges":[{"minimum":2125,"maximum":2125,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":2125,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":2125,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":2125,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":2125,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":2125,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"COMPOSITE SKIN GRAFT","code_information":[{"code":"15760","type":"CPT"}],"standard_charges":[{"minimum":484.05,"maximum":484.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF GR AUT SFT TIS DIR EXC","code_information":[{"code":"15769","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":691.79,"maximum":1252.44,"gross_charge":1278,"discounted_cash":851.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1044.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1044.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1044.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":886.94,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":691.79,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":817.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":817.92,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":817.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1143.81,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1143.81,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":958.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":954.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1086.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1252.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":852.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1002.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":743.29,"methodology":"fee schedule"}]}]},{"description":"PF GR AUT SFT TIS DIR EXC","code_information":[{"code":"15769","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":330.62,"maximum":1252.44,"gross_charge":1278,"discounted_cash":851.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1044.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1044.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1044.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1005.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":784.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":924,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":924,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":924,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1143.81,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1143.81,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":958.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1027.52,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1086.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1252.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":994.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1173.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":867.77,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":424.05,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":424.05,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":424.05,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":424.05,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":424.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":330.62,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":330.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":330.62,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":330.62,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":330.62,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":330.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":330.62,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":330.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":330.62,"methodology":"fee schedule"}]}]},{"description":"DERMA-FAT-FASCIA GRAFT","code_information":[{"code":"15770","type":"CPT"}],"standard_charges":[{"minimum":512.67,"maximum":512.67,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":512.67,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":512.67,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":512.67,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":512.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":512.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"GRFG AUTOL FAT LIPO 50 CC/<","code_information":[{"code":"15771","type":"CPT"}],"standard_charges":[{"minimum":513.77,"maximum":513.77,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":513.77,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":513.77,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":513.77,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":513.77,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":513.77,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"GRFG AUTOL FAT LIPO EA ADDL","code_information":[{"code":"15772","type":"CPT"}],"standard_charges":[{"minimum":159.72,"maximum":159.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":159.72,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":159.72,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":159.72,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":159.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":159.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"GRFG AUTOL FAT LIPO 25 CC/<","code_information":[{"code":"15773","type":"CPT"}],"standard_charges":[{"minimum":518.61,"maximum":518.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":518.61,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":518.61,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":518.61,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":518.61,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":518.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"GFRG AUTOL FAT LIPO EA ADDL","code_information":[{"code":"15774","type":"CPT"}],"standard_charges":[{"minimum":155.25,"maximum":155.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.25,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.25,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.25,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.25,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"ACELLULAR DERM MATRIX IMPLT","code_information":[{"code":"15777","type":"CPT"}],"standard_charges":[{"minimum":173.49,"maximum":173.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":173.49,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":173.49,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":173.49,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":173.49,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":173.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF IMP AB MESH DEL CLS DF","code_information":[{"code":"15778","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":519.11,"maximum":939.82,"gross_charge":959,"discounted_cash":638.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":783.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":783.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":783.51,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":519.11,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":613.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":613.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":613.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":858.31,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":858.31,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":719.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":716.38,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":815.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":939.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":640.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":751.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":557.76,"methodology":"fee schedule"}]}]},{"description":"PF IMP AB MESH DEL CLS DF","code_information":[{"code":"15778","type":"CPT"},{"code":"0975","type":"RC"}],"standard_charges":[{"minimum":248.1,"maximum":939.82,"gross_charge":959,"discounted_cash":638.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":783.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":783.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":783.51,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":754.64,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":588.64,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":693.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":693.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":693.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":858.31,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":858.31,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":719.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":771.04,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":815.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":939.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":746.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":880.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":651.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":248.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":248.1,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":248.1,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":248.1,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":248.1,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":248.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":248.1,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":248.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":248.1,"methodology":"fee schedule"}]}]},{"description":"DERMABRASION TOTAL FACE","code_information":[{"code":"15780","type":"CPT"}],"standard_charges":[{"minimum":520.78,"maximum":520.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":520.78,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":520.78,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":520.78,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":520.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":520.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DERMABRASION SEGMENTAL FACE","code_information":[{"code":"15781","type":"CPT"}],"standard_charges":[{"minimum":193.53,"maximum":193.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DERMABRASION OTHER THAN FACE","code_information":[{"code":"15782","type":"CPT"}],"standard_charges":[{"minimum":193.53,"maximum":193.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DERMABRASION SUPRFL ANY SITE","code_information":[{"code":"15783","type":"CPT"}],"standard_charges":[{"minimum":173.02,"maximum":173.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":173.02,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":173.02,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":173.02,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":173.02,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":173.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"ABRASION LESION SINGLE","code_information":[{"code":"15786","type":"CPT"}],"standard_charges":[{"minimum":73.91,"maximum":73.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"ABRASION LESIONS ADD-ON","code_information":[{"code":"15787","type":"CPT"}],"standard_charges":[{"minimum":11.96,"maximum":11.96,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.96,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.96,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.96,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.96,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.96,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"CHEMICAL PEEL FACE EPIDERM","code_information":[{"code":"15788","type":"CPT"}],"standard_charges":[{"minimum":131.16,"maximum":131.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":131.16,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":131.16,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":131.16,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":131.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":131.16,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"CHEMICAL PEEL FACE DERMAL","code_information":[{"code":"15789","type":"CPT"}],"standard_charges":[{"minimum":209.77,"maximum":209.77,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":209.77,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":209.77,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":209.77,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":209.77,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":209.77,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"CHEMICAL PEEL NONFACIAL","code_information":[{"code":"15792","type":"CPT"}],"standard_charges":[{"minimum":91.85,"maximum":91.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"CHEMICAL PEEL NONFACIAL","code_information":[{"code":"15793","type":"CPT"}],"standard_charges":[{"minimum":141.41,"maximum":141.41,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":141.41,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":141.41,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":141.41,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":141.41,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":141.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REVISION OF LOWER EYELID","code_information":[{"code":"15820","type":"CPT"}],"standard_charges":[{"minimum":512.67,"maximum":512.67,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":512.67,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":512.67,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":512.67,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":512.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":512.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REVISION OF LOWER EYELID","code_information":[{"code":"15821","type":"CPT"}],"standard_charges":[{"minimum":597.26,"maximum":597.26,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":597.26,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":597.26,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":597.26,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":597.26,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":597.26,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REVISION OF UPPER EYELID","code_information":[{"code":"15822","type":"CPT"}],"standard_charges":[{"minimum":387.06,"maximum":387.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF BLEPHPLST UPP EXCES BI","code_information":[{"code":"15823","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":929.96,"maximum":1683.64,"gross_charge":1718,"discounted_cash":1144.19,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1403.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1403.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1403.61,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1192.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":929.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1099.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1099.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1099.52,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1537.61,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1537.61,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1283.35,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1460.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1683.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1146.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1347.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":999.19,"methodology":"fee schedule"}]}]},{"description":"PF BLEPHPLST UPP EXCES BI","code_information":[{"code":"15823","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":387.06,"maximum":1683.64,"gross_charge":1718,"discounted_cash":1144.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1403.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1403.61,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1403.61,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1351.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1054.51,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1242.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1242.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1242.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1537.61,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1537.61,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.28,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1460.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1683.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1336.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1577.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1166.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.06,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":444.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":444.45,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":444.45,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":444.45,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":444.45,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":444.45,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":444.45,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":444.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":444.45,"methodology":"fee schedule"}]}]},{"description":"NERVE PALSY FASCIAL GRAFT","code_information":[{"code":"15840","type":"CPT"}],"standard_charges":[{"minimum":1281.67,"maximum":1281.67,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":1281.67,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":1281.67,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":1281.67,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":1281.67,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":1281.67,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"NERVE PALSY MUSCLE GRAFT","code_information":[{"code":"15841","type":"CPT"}],"standard_charges":[{"minimum":1432.05,"maximum":1432.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":1432.05,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":1432.05,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":1432.05,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":1432.05,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":1432.05,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"NERVE PALSY MICROSURG GRAFT","code_information":[{"code":"15842","type":"CPT"}],"standard_charges":[{"minimum":1451.7,"maximum":1451.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":1451.7,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":1451.7,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":1451.7,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":1451.7,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":1451.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"SKIN AND MUSCLE REPAIR FACE","code_information":[{"code":"15845","type":"CPT"}],"standard_charges":[{"minimum":857.44,"maximum":857.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":857.44,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":857.44,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":857.44,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":857.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":857.44,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE SUTURES DIFF SURGEON","code_information":[{"code":"15851","type":"CPT"}],"standard_charges":[{"minimum":48.28,"maximum":48.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.28,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.28,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.28,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.28,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.28,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"TEST FOR BLOOD FLOW IN GRAFT","code_information":[{"code":"15860","type":"CPT"}],"standard_charges":[{"minimum":118.77,"maximum":118.77,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":118.77,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":118.77,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":118.77,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":118.77,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":118.77,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVAL OF TAIL BONE ULCER","code_information":[{"code":"15920","type":"CPT"}],"standard_charges":[{"minimum":290.51,"maximum":290.51,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.51,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVAL OF TAIL BONE ULCER","code_information":[{"code":"15922","type":"CPT"}],"standard_charges":[{"minimum":659.2,"maximum":659.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":659.2,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":659.2,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":659.2,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":659.2,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":659.2,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE SACRUM PRESSURE SORE","code_information":[{"code":"15931","type":"CPT"}],"standard_charges":[{"minimum":435.33,"maximum":435.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":435.33,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":435.33,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":435.33,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":435.33,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":435.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE SACRUM PRESSURE SORE","code_information":[{"code":"15933","type":"CPT"}],"standard_charges":[{"minimum":619.48,"maximum":619.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":619.48,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":619.48,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":619.48,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":619.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":619.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF EXC S/P ULCR W SKN CLS","code_information":[{"code":"15934","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":1353.25,"maximum":2450,"gross_charge":2500,"discounted_cash":1665,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2042.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":2042.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":2042.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1735,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1353.25,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1600,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1600,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2237.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":2237.5,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1875,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1867.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":2125,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2450,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1668.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1960.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1454,"methodology":"fee schedule"}]}]},{"description":"PF EXC S/P ULCR W SKN CLS","code_information":[{"code":"15934","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":646.75,"maximum":2450,"gross_charge":2500,"discounted_cash":1665,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2042.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":2042.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":2042.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1967.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1534.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1807.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1807.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1807.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2237.5,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":2237.5,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1875,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":2010,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":2125,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2450,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1945,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":2295,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1697.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":777.97,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":777.97,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":777.97,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":777.97,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":777.97,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":646.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":646.75,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":646.75,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":646.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":646.75,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":646.75,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":646.75,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":646.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":646.75,"methodology":"fee schedule"}]}]},{"description":"REMOVE SACRUM PRESSURE SORE","code_information":[{"code":"15935","type":"CPT"}],"standard_charges":[{"minimum":954.84,"maximum":954.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":954.84,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":954.84,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":954.84,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":954.84,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":954.84,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE SACRUM PRESSURE SORE","code_information":[{"code":"15936","type":"CPT"}],"standard_charges":[{"minimum":783.95,"maximum":783.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":783.95,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":783.95,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":783.95,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":783.95,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":783.95,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE SACRUM PRESSURE SORE","code_information":[{"code":"15937","type":"CPT"}],"standard_charges":[{"minimum":897.17,"maximum":897.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":897.17,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":897.17,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":897.17,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":897.17,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":897.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE HIP PRESSURE SORE","code_information":[{"code":"15940","type":"CPT"}],"standard_charges":[{"minimum":566.07,"maximum":566.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":566.07,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":566.07,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":566.07,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":566.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":566.07,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE HIP PRESSURE SORE","code_information":[{"code":"15941","type":"CPT"}],"standard_charges":[{"minimum":801.46,"maximum":801.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":801.46,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":801.46,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":801.46,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":801.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":801.46,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE HIP PRESSURE SORE","code_information":[{"code":"15944","type":"CPT"}],"standard_charges":[{"minimum":734.83,"maximum":734.83,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":734.83,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":734.83,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":734.83,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":734.83,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":734.83,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE HIP PRESSURE SORE","code_information":[{"code":"15945","type":"CPT"}],"standard_charges":[{"minimum":814.28,"maximum":814.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":814.28,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":814.28,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":814.28,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":814.28,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":814.28,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE HIP PRESSURE SORE","code_information":[{"code":"15946","type":"CPT"}],"standard_charges":[{"minimum":1137.26,"maximum":1137.26,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":1137.26,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":1137.26,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":1137.26,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":1137.26,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":1137.26,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE THIGH PRESSURE SORE","code_information":[{"code":"15950","type":"CPT"}],"standard_charges":[{"minimum":475.5,"maximum":475.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":475.5,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":475.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":475.5,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":475.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":475.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE THIGH PRESSURE SORE","code_information":[{"code":"15951","type":"CPT"}],"standard_charges":[{"minimum":728.41,"maximum":728.41,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":728.41,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":728.41,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":728.41,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":728.41,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":728.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE THIGH PRESSURE SORE","code_information":[{"code":"15952","type":"CPT"}],"standard_charges":[{"minimum":727.99,"maximum":727.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":727.99,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":727.99,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":727.99,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":727.99,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":727.99,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE THIGH PRESSURE SORE","code_information":[{"code":"15953","type":"CPT"}],"standard_charges":[{"minimum":909.98,"maximum":909.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":909.98,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":909.98,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":909.98,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":909.98,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":909.98,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE THIGH PRESSURE SORE","code_information":[{"code":"15956","type":"CPT"}],"standard_charges":[{"minimum":933.91,"maximum":933.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":933.91,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":933.91,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":933.91,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":933.91,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":933.91,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"REMOVE THIGH PRESSURE SORE","code_information":[{"code":"15958","type":"CPT"}],"standard_charges":[{"minimum":962.53,"maximum":962.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":962.53,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":962.53,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":962.53,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":962.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":962.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"INITIAL TREATMENT OF BURN(S)","code_information":[{"code":"16000","type":"CPT"}],"standard_charges":[{"minimum":36.74,"maximum":36.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY","code_information":[{"code":"1601","type":"APR-DRG"}],"standard_charges":[{"minimum":63684,"maximum":63684,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":63684,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":63684,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":63684,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":63684,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":63684,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY","code_information":[{"code":"1602","type":"APR-DRG"}],"standard_charges":[{"minimum":75649,"maximum":75649,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":75649,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":75649,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":75649,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":75649,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":75649,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"RHC DRESS/DEBR BURN SMALL","code_information":[{"code":"16020","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":73.08,"maximum":132.3,"gross_charge":135,"discounted_cash":89.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":73.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":101.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":100.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":90.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":105.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":78.52,"methodology":"fee schedule"}]}]},{"description":"RHC DRESS/DEBR BURN SMALL","code_information":[{"code":"16020","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":34.93,"maximum":132.3,"gross_charge":135,"discounted_cash":89.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.24,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":82.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":101.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":108.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":105.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":123.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":91.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.32,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"}]}]},{"description":"RHC DRES/DEBR BURN MEDIUM","code_information":[{"code":"16025","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":73.08,"maximum":132.3,"gross_charge":135,"discounted_cash":89.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":73.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":101.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":100.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":90.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":105.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":78.52,"methodology":"fee schedule"}]}]},{"description":"RHC DRES/DEBR BURN MEDIUM","code_information":[{"code":"16025","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":34.93,"maximum":132.3,"gross_charge":135,"discounted_cash":89.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.24,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":82.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":101.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":108.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":105.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":123.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":91.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.21,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.21,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.21,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.21,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.21,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"}]}]},{"description":"MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY","code_information":[{"code":"1603","type":"APR-DRG"}],"standard_charges":[{"minimum":116844,"maximum":116844,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":116844,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":116844,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":116844,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":116844,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":116844,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"DRESS/DEBRID P-THICK BURN L","code_information":[{"code":"16030","type":"CPT"}],"standard_charges":[{"minimum":93.56,"maximum":93.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.56,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.56,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.56,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.56,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.56,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"INCISION OF BURN SCAB INITI","code_information":[{"code":"16035","type":"CPT"}],"standard_charges":[{"minimum":288.8,"maximum":288.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":288.8,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":288.8,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":288.8,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":288.8,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":288.8,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"ESCHAROTOMY ADDL INCISION","code_information":[{"code":"16036","type":"CPT"}],"standard_charges":[{"minimum":85.02,"maximum":85.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY","code_information":[{"code":"1604","type":"APR-DRG"}],"standard_charges":[{"minimum":247376,"maximum":247376,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":247376,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":247376,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":247376,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":247376,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":247376,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"IMPLANTABLE HEART ASSIST SYSTEMS","code_information":[{"code":"1611","type":"APR-DRG"}],"standard_charges":[{"minimum":313576,"maximum":313576,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":313576,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":313576,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":313576,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":313576,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":313576,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"IMPLANTABLE HEART ASSIST SYSTEMS","code_information":[{"code":"1612","type":"APR-DRG"}],"standard_charges":[{"minimum":329685,"maximum":329685,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":329685,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":329685,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":329685,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":329685,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":329685,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"IMPLANTABLE HEART ASSIST SYSTEMS","code_information":[{"code":"1613","type":"APR-DRG"}],"standard_charges":[{"minimum":411107,"maximum":411107,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":411107,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":411107,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":411107,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":411107,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":411107,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"IMPLANTABLE HEART ASSIST SYSTEMS","code_information":[{"code":"1614","type":"APR-DRG"}],"standard_charges":[{"minimum":542523,"maximum":542523,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":542523,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":542523,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":542523,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":542523,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":542523,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1621","type":"APR-DRG"}],"standard_charges":[{"minimum":97212,"maximum":97212,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":97212,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":97212,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":97212,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":97212,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":97212,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1622","type":"APR-DRG"}],"standard_charges":[{"minimum":111950,"maximum":111950,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":111950,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":111950,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":111950,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":111950,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":111950,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1623","type":"APR-DRG"}],"standard_charges":[{"minimum":143284,"maximum":143284,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":143284,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":143284,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":143284,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":143284,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":143284,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1624","type":"APR-DRG"}],"standard_charges":[{"minimum":211551,"maximum":211551,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":211551,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":211551,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":211551,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":211551,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":211551,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1631","type":"APR-DRG"}],"standard_charges":[{"minimum":84160,"maximum":84160,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":84160,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":84160,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":84160,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":84160,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":84160,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1632","type":"APR-DRG"}],"standard_charges":[{"minimum":94024,"maximum":94024,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":94024,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":94024,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":94024,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":94024,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":94024,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1633","type":"APR-DRG"}],"standard_charges":[{"minimum":117907,"maximum":117907,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":117907,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":117907,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":117907,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":117907,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":117907,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1634","type":"APR-DRG"}],"standard_charges":[{"minimum":178989,"maximum":178989,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":178989,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":178989,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":178989,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":178989,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":178989,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1651","type":"APR-DRG"}],"standard_charges":[{"minimum":85238,"maximum":85238,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":85238,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":85238,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":85238,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":85238,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":85238,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1652","type":"APR-DRG"}],"standard_charges":[{"minimum":98974,"maximum":98974,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":98974,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":98974,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":98974,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":98974,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":98974,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1653","type":"APR-DRG"}],"standard_charges":[{"minimum":118990,"maximum":118990,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":118990,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":118990,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":118990,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":118990,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":118990,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1654","type":"APR-DRG"}],"standard_charges":[{"minimum":165791,"maximum":165791,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":165791,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":165791,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":165791,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":165791,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":165791,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1661","type":"APR-DRG"}],"standard_charges":[{"minimum":75289,"maximum":75289,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":75289,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":75289,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":75289,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":75289,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":75289,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1662","type":"APR-DRG"}],"standard_charges":[{"minimum":83966,"maximum":83966,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":83966,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":83966,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":83966,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":83966,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":83966,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1663","type":"APR-DRG"}],"standard_charges":[{"minimum":99241,"maximum":99241,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":99241,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":99241,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":99241,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":99241,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":99241,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1664","type":"APR-DRG"}],"standard_charges":[{"minimum":145940,"maximum":145940,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":145940,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":145940,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":145940,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":145940,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":145940,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES","code_information":[{"code":"1671","type":"APR-DRG"}],"standard_charges":[{"minimum":64439,"maximum":64439,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":64439,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":64439,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":64439,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":64439,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":64439,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES","code_information":[{"code":"1672","type":"APR-DRG"}],"standard_charges":[{"minimum":67582,"maximum":67582,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":67582,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":67582,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":67582,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":67582,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":67582,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES","code_information":[{"code":"1673","type":"APR-DRG"}],"standard_charges":[{"minimum":100111,"maximum":100111,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":100111,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":100111,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":100111,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":100111,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":100111,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES","code_information":[{"code":"1674","type":"APR-DRG"}],"standard_charges":[{"minimum":165482,"maximum":165482,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":165482,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":165482,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":165482,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":165482,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":165482,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR ABDOMINAL VASCULAR PROCEDURES","code_information":[{"code":"1691","type":"APR-DRG"}],"standard_charges":[{"minimum":63503,"maximum":63503,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":63503,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":63503,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":63503,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":63503,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":63503,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR ABDOMINAL VASCULAR PROCEDURES","code_information":[{"code":"1692","type":"APR-DRG"}],"standard_charges":[{"minimum":64691,"maximum":64691,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":64691,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":64691,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":64691,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":64691,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":64691,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR ABDOMINAL VASCULAR PROCEDURES","code_information":[{"code":"1693","type":"APR-DRG"}],"standard_charges":[{"minimum":83321,"maximum":83321,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":83321,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":83321,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":83321,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":83321,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":83321,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"MAJOR ABDOMINAL VASCULAR PROCEDURES","code_information":[{"code":"1694","type":"APR-DRG"}],"standard_charges":[{"minimum":130812,"maximum":130812,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":130812,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":130812,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":130812,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":130812,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":130812,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PF LESN PREMALIG DSTR 1ST","code_information":[{"code":"17000","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":74.7,"maximum":135.24,"gross_charge":138,"discounted_cash":91.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":112.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":112.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":74.7,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.51,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":123.51,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":103.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":103.09,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":117.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":135.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":92.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":108.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":80.27,"methodology":"fee schedule"}]}]},{"description":"PF LESN PREMALIG DSTR 1ST","code_information":[{"code":"17000","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":35.71,"maximum":135.24,"gross_charge":138,"discounted_cash":91.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":112.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":112.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":84.71,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":99.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":99.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":99.78,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.51,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":123.51,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":103.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":110.96,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":117.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":135.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":107.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":126.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":93.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.1,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.1,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.1,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":35.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":35.71,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":35.71,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":35.71,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":35.71,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":35.71,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":35.71,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":35.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":35.71,"methodology":"fee schedule"}]}]},{"description":"RHC LES PREMAL DEST 1ST","code_information":[{"code":"17000","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":69.83,"maximum":126.42,"gross_charge":129,"discounted_cash":85.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.4,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":105.4,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":105.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":69.83,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.46,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":115.46,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":96.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":96.37,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":109.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":126.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":86.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":101.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":75.03,"methodology":"fee schedule"}]}]},{"description":"RHC LES PREMAL DEST 1ST","code_information":[{"code":"17000","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":33.38,"maximum":126.42,"gross_charge":129,"discounted_cash":85.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.4,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":105.4,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":105.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.52,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":79.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":93.27,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":93.27,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":93.27,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.46,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":115.46,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":96.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":103.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":109.65,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":126.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":100.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":118.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":87.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.1,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.1,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.1,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.1,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":33.38,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":33.38,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":33.38,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":33.38,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":33.38,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":33.38,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":33.38,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":33.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":33.38,"methodology":"fee schedule"}]}]},{"description":"PF LESN PREML DES 2-14 EA","code_information":[{"code":"17003","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":34.65,"maximum":62.72,"gross_charge":64,"discounted_cash":42.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.29,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":52.29,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":52.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":34.65,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":40.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":40.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":40.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":57.28,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":48,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":47.81,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":62.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":42.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":50.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":37.23,"methodology":"fee schedule"}]}]},{"description":"PF LESN PREML DES 2-14 EA","code_information":[{"code":"17003","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":6.8,"maximum":62.72,"gross_charge":64,"discounted_cash":42.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.29,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":52.29,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":52.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":39.29,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":46.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":46.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":46.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":57.28,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":48,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":51.46,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":62.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":49.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":58.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":43.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.8,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.8,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.8,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.8,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.8,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":16.56,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":16.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":16.56,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":16.56,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":16.56,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":16.56,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":16.56,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":16.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":16.56,"methodology":"fee schedule"}]}]},{"description":"RHC LES PREMAL DES 2-14EA","code_information":[{"code":"17003","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":23.28,"maximum":42.14,"gross_charge":43,"discounted_cash":28.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.14,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":35.14,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":35.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":23.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.49,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":38.49,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":32.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":32.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":36.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":28.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":33.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":25.01,"methodology":"fee schedule"}]}]},{"description":"RHC LES PREMAL DES 2-14EA","code_information":[{"code":"17003","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":6.8,"maximum":42.14,"gross_charge":43,"discounted_cash":28.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.14,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":35.14,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":35.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.84,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":26.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":31.09,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":31.09,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":31.09,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.49,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":38.49,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":32.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":34.58,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":36.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":33.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":39.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.8,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.8,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.8,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.8,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.8,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":11.13,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":11.13,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":11.13,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":11.13,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":11.13,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":11.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":11.13,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":11.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":11.13,"methodology":"fee schedule"}]}]},{"description":"PF LESN PREMAL DESTR >=15","code_information":[{"code":"17004","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":140.74,"maximum":254.8,"gross_charge":260,"discounted_cash":173.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":212.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":212.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":212.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":180.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":140.74,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":166.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":166.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":166.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":232.7,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":232.7,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":195,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":194.22,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":221,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":254.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":173.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":203.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":151.22,"methodology":"fee schedule"}]}]},{"description":"PF LESN PREMAL DESTR >=15","code_information":[{"code":"17004","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":67.27,"maximum":254.8,"gross_charge":260,"discounted_cash":173.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":212.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":212.42,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":212.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":159.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":187.98,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":187.98,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":187.98,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":232.7,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":232.7,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":195,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":209.04,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":221,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":254.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":202.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":238.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":176.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":165.76,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":165.76,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":165.76,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":165.76,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":165.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":67.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":67.27,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":67.27,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":67.27,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":67.27,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":67.27,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":67.27,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":67.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":67.27,"methodology":"fee schedule"}]}]},{"description":"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI HEART FAILURE OR SHOCK","code_information":[{"code":"1701","type":"APR-DRG"}],"standard_charges":[{"minimum":49836,"maximum":49836,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":49836,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":49836,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":49836,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":49836,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":49836,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI HEART FAILURE OR SHOCK","code_information":[{"code":"1702","type":"APR-DRG"}],"standard_charges":[{"minimum":51717,"maximum":51717,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":51717,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":51717,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":51717,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":51717,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":51717,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI HEART FAILURE OR SHOCK","code_information":[{"code":"1703","type":"APR-DRG"}],"standard_charges":[{"minimum":69458,"maximum":69458,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":69458,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":69458,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":69458,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":69458,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":69458,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI HEART FAILURE OR SHOCK","code_information":[{"code":"1704","type":"APR-DRG"}],"standard_charges":[{"minimum":97546,"maximum":97546,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":97546,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":97546,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":97546,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":97546,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":97546,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17106","type":"CPT"}],"standard_charges":[{"minimum":212.76,"maximum":212.76,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":212.76,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":212.76,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":212.76,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":212.76,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":212.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17107","type":"CPT"}],"standard_charges":[{"minimum":362.71,"maximum":362.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":362.71,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":362.71,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":362.71,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":362.71,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":362.71,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17108","type":"CPT"}],"standard_charges":[{"minimum":787.37,"maximum":787.37,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":787.37,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":787.37,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":787.37,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":787.37,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":787.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI HEART FAILURE OR SHOCK","code_information":[{"code":"1711","type":"APR-DRG"}],"standard_charges":[{"minimum":35547,"maximum":35547,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":35547,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":35547,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":35547,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":35547,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":35547,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"LESION BENIGN DESTR 1-14","code_information":[{"code":"17110","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":71.46,"maximum":129.36,"gross_charge":132,"discounted_cash":87.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":107.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":107.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.61,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":71.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.14,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":118.14,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":99,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":98.61,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":112.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":129.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":88.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":103.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":76.78,"methodology":"fee schedule"}]}]},{"description":"LESION BENIGN DESTR 1-14","code_information":[{"code":"17110","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":34.15,"maximum":129.36,"gross_charge":132,"discounted_cash":87.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":107.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":107.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":81.03,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":95.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":95.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":95.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.14,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":118.14,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":99,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":106.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":112.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":129.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":102.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":121.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":89.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"}]}]},{"description":"PF LESN WRT/MILIA DES<=14","code_information":[{"code":"17110","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":98.52,"maximum":178.36,"gross_charge":182,"discounted_cash":121.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":148.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":148.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":98.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":116.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":116.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":116.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":162.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":162.89,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":136.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":135.96,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":154.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":178.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":121.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":142.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":105.86,"methodology":"fee schedule"}]}]},{"description":"PF LESN WRT/MILIA DES<=14","code_information":[{"code":"17110","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":47.09,"maximum":178.36,"gross_charge":182,"discounted_cash":121.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":148.7,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":148.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":111.72,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":131.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":131.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":131.59,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":162.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":162.89,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":136.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":146.33,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":154.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":178.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":141.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":167.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":123.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":47.09,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":47.09,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":47.09,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":47.09,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":47.09,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":47.09,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":47.09,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":47.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":47.09,"methodology":"fee schedule"}]}]},{"description":"RHC LES BENIGN DESTR 1-14","code_information":[{"code":"17110","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":71.46,"maximum":129.36,"gross_charge":132,"discounted_cash":87.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":107.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":107.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.61,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":71.46,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.14,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":118.14,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":99,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":98.61,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":112.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":129.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":88.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":103.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":76.78,"methodology":"fee schedule"}]}]},{"description":"RHC LES BENIGN DESTR 1-14","code_information":[{"code":"17110","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":34.15,"maximum":129.36,"gross_charge":132,"discounted_cash":87.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":107.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":107.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.88,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":81.03,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":95.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":95.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":95.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.14,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":118.14,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":99,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":106.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":112.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":129.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":102.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":121.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":89.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.5,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"}]}]},{"description":"LESION BENIGN DESTR =>15","code_information":[{"code":"17111","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":76.87,"maximum":139.16,"gross_charge":142,"discounted_cash":94.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":76.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":90.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":90.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":90.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.09,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":127.09,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":106.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":106.08,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":120.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":139.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":94.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":111.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":82.59,"methodology":"fee schedule"}]}]},{"description":"LESION BENIGN DESTR =>15","code_information":[{"code":"17111","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":36.74,"maximum":139.16,"gross_charge":142,"discounted_cash":94.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.74,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":87.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":102.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":102.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":102.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.09,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":127.09,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":106.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":114.17,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":120.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":139.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":110.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":130.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":96.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.43,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.43,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.43,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.43,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"}]}]},{"description":"PF LESN WRT/MILIA DES>=15","code_information":[{"code":"17111","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":121.26,"maximum":219.52,"gross_charge":224,"discounted_cash":149.19,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":183.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":183.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":183.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":155.46,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":121.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":143.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":143.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":143.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":200.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":167.33,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":219.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":149.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":175.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":130.28,"methodology":"fee schedule"}]}]},{"description":"PF LESN WRT/MILIA DES>=15","code_information":[{"code":"17111","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":57.95,"maximum":219.52,"gross_charge":224,"discounted_cash":149.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":183.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":183.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":183.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":137.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":161.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":161.96,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":161.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":200.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":180.1,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":219.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":174.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":205.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":152.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.43,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.43,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.43,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.43,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"}]}]},{"description":"RHC DESTR LES BENIGN =>15","code_information":[{"code":"17111","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":76.87,"maximum":139.16,"gross_charge":142,"discounted_cash":94.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":76.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":90.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":90.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":90.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.09,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":127.09,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":106.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":106.08,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":120.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":139.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":94.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":111.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":82.59,"methodology":"fee schedule"}]}]},{"description":"RHC DESTR LES BENIGN =>15","code_information":[{"code":"17111","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":36.74,"maximum":139.16,"gross_charge":142,"discounted_cash":94.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.74,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":87.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":102.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":102.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":102.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.09,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":127.09,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":106.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":114.17,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":120.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":139.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":110.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":130.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":96.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.43,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.43,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.43,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.43,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"}]}]},{"description":"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI HEART FAILURE OR SHOCK","code_information":[{"code":"1712","type":"APR-DRG"}],"standard_charges":[{"minimum":40319,"maximum":40319,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":40319,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":40319,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":40319,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":40319,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":40319,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI HEART FAILURE OR SHOCK","code_information":[{"code":"1713","type":"APR-DRG"}],"standard_charges":[{"minimum":52334,"maximum":52334,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":52334,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":52334,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":52334,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":52334,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":52334,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI HEART FAILURE OR SHOCK","code_information":[{"code":"1714","type":"APR-DRG"}],"standard_charges":[{"minimum":81848,"maximum":81848,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":81848,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":81848,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":81848,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":81848,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":81848,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CHEMICAL CAUTERIZ TISSUE","code_information":[{"code":"17250","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":76.87,"maximum":139.16,"gross_charge":142,"discounted_cash":94.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":76.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":90.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":90.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":90.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.09,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":127.09,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":106.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":106.08,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":120.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":139.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":94.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":111.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":82.59,"methodology":"fee schedule"}]}]},{"description":"CHEMICAL CAUTERIZ TISSUE","code_information":[{"code":"17250","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":23.07,"maximum":139.16,"gross_charge":142,"discounted_cash":94.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":116.02,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.74,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":87.16,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":102.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":102.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":102.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.09,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":127.09,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":106.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":114.17,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":120.7,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":139.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":110.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":130.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":96.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":36.74,"methodology":"fee schedule"}]}]},{"description":"PF CHEMICAL CAUTERIZ TISS","code_information":[{"code":"17250","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":53.59,"maximum":97.02,"gross_charge":99,"discounted_cash":65.94,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":80.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":80.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":53.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.61,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":88.61,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":74.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":73.96,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":84.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":66.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":77.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":57.58,"methodology":"fee schedule"}]}]},{"description":"PF CHEMICAL CAUTERIZ TISS","code_information":[{"code":"17250","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":23.07,"maximum":97.02,"gross_charge":99,"discounted_cash":65.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":80.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":80.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.91,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":60.77,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":71.58,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":71.58,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":71.58,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.61,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":88.61,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":74.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":79.6,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":84.15,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":77.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":90.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":67.23,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":25.62,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":25.62,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":25.62,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":25.62,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":25.62,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":25.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":25.62,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":25.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":25.62,"methodology":"fee schedule"}]}]},{"description":"RHC CAUT TISSUE CHEMICAL","code_information":[{"code":"17250","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":73.08,"maximum":132.3,"gross_charge":135,"discounted_cash":89.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":73.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":101.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":100.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":90.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":105.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":78.52,"methodology":"fee schedule"}]}]},{"description":"RHC CAUT TISSUE CHEMICAL","code_information":[{"code":"17250","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":23.07,"maximum":132.3,"gross_charge":135,"discounted_cash":89.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":110.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.24,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":82.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":120.83,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":101.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":108.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":105.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":123.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":91.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":34.93,"methodology":"fee schedule"}]}]},{"description":"PF LES MLG T/A/L DES<=0.5","code_information":[{"code":"17260","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":126.67,"maximum":229.32,"gross_charge":234,"discounted_cash":155.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":191.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":191.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":162.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":126.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.43,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":209.43,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":175.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":174.8,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":198.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":229.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":156.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":183.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":136.1,"methodology":"fee schedule"}]}]},{"description":"PF LES MLG T/A/L DES<=0.5","code_information":[{"code":"17260","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":43.15,"maximum":229.32,"gross_charge":234,"discounted_cash":155.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":191.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":191.18,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":184.14,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":143.63,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":169.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":169.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":169.19,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.43,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":209.43,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":175.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":188.14,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":198.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":229.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":182.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":214.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":158.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.15,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.15,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.15,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.15,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.15,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":60.54,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":60.54,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":60.54,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":60.54,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":60.54,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":60.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":60.54,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":60.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":60.54,"methodology":"fee schedule"}]}]},{"description":"PF LES MLG T/A/L DES .6-1","code_information":[{"code":"17261","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":151.57,"maximum":274.4,"gross_charge":280,"discounted_cash":186.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":194.32,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":151.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":179.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":179.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":179.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":250.6,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":209.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":238,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":274.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":186.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":219.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":162.85,"methodology":"fee schedule"}]}]},{"description":"PF LES MLG T/A/L DES .6-1","code_information":[{"code":"17261","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":50.41,"maximum":274.4,"gross_charge":280,"discounted_cash":186.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":220.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":171.87,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":202.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":202.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":202.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":250.6,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":225.12,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":238,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":274.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":217.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":257.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":190.12,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.41,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.41,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.41,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.41,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":72.44,"methodology":"fee schedule"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17262","type":"CPT"}],"standard_charges":[{"minimum":69.63,"maximum":69.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.63,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.63,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.63,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.63,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.63,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17263","type":"CPT"}],"standard_charges":[{"minimum":79.04,"maximum":79.04,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.04,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.04,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.04,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.04,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17264","type":"CPT"}],"standard_charges":[{"minimum":86.29,"maximum":86.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.29,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.29,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.29,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.29,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.29,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17266","type":"CPT"}],"standard_charges":[{"minimum":103.82,"maximum":103.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.82,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.82,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.82,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.82,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.82,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PF DEST MAL LES SNHF<=0.5","code_information":[{"code":"17270","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":153.19,"maximum":277.34,"gross_charge":283,"discounted_cash":188.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":231.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":231.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":231.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":196.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":153.19,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":181.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":181.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":181.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":253.29,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":253.29,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":212.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":211.41,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":240.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":277.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":188.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":221.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":164.6,"methodology":"fee schedule"}]}]},{"description":"PF DEST MAL LES SNHF<=0.5","code_information":[{"code":"17270","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":55.12,"maximum":277.34,"gross_charge":283,"discounted_cash":188.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":231.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":231.22,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":231.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":222.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":173.71,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":204.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":204.61,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":204.61,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":253.29,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":253.29,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":212.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":227.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":240.55,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":277.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":220.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":259.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":192.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.12,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.12,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.12,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.12,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.12,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":73.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":73.22,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":73.22,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":73.22,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":73.22,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":73.22,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":73.22,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":73.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":73.22,"methodology":"fee schedule"}]}]},{"description":"PF DESTR MAL LES SNHF.6-1","code_information":[{"code":"17271","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":192.17,"maximum":347.9,"gross_charge":355,"discounted_cash":236.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":290.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":290.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":290.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":192.17,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":227.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":227.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":227.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":317.73,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":317.73,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":266.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":265.19,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":301.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":347.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":236.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":278.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":206.47,"methodology":"fee schedule"}]}]},{"description":"PF DESTR MAL LES SNHF.6-1","code_information":[{"code":"17271","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":65.36,"maximum":347.9,"gross_charge":355,"discounted_cash":236.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":290.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":290.04,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":290.04,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":279.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":217.9,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":256.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":256.67,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":256.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":317.73,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":317.73,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":266.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":285.42,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":301.75,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":347.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":276.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":325.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":241.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":91.84,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":91.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":91.84,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":91.84,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":91.84,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":91.84,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":91.84,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":91.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":91.84,"methodology":"fee schedule"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17272","type":"CPT"}],"standard_charges":[{"minimum":77.76,"maximum":77.76,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.76,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.76,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.76,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.76,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.76,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17273","type":"CPT"}],"standard_charges":[{"minimum":91.85,"maximum":91.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17274","type":"CPT"}],"standard_charges":[{"minimum":115.35,"maximum":115.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.35,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.35,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.35,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.35,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.35,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17276","type":"CPT"}],"standard_charges":[{"minimum":143.12,"maximum":143.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":143.12,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":143.12,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":143.12,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":143.12,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":143.12,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"RHC DES F/E/N LES ML<=0.5","code_information":[{"code":"17280","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":206.24,"maximum":373.38,"gross_charge":381,"discounted_cash":253.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":311.28,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":311.28,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":311.28,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":264.42,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":206.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":243.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":243.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":243.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":341,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":341,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":285.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":284.61,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":323.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":373.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":254.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":298.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":221.59,"methodology":"fee schedule"}]}]},{"description":"RHC DES F/E/N LES ML<=0.5","code_information":[{"code":"17280","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":50.41,"maximum":373.38,"gross_charge":381,"discounted_cash":253.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":311.28,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":311.28,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":311.28,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":299.81,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":233.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":275.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":275.47,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":275.47,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":341,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":341,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":285.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":306.33,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":323.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":373.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":296.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":349.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":258.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.41,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.41,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.41,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.41,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":98.57,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":98.57,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":98.57,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":98.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":98.57,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":98.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":98.57,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":98.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":98.57,"methodology":"fee schedule"}]}]},{"description":"RHC DES F/E/N LS ML 0.6-1","code_information":[{"code":"17281","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":265.78,"maximum":481.18,"gross_charge":491,"discounted_cash":327.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":401.15,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":401.15,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":401.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":340.76,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":265.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":314.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":314.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":314.24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":439.45,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":439.45,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":368.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":366.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":417.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":481.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":327.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":385,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":285.57,"methodology":"fee schedule"}]}]},{"description":"RHC DES F/E/N LS ML 0.6-1","code_information":[{"code":"17281","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":75.62,"maximum":481.18,"gross_charge":491,"discounted_cash":327.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":401.15,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":401.15,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":401.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":386.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":301.38,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":355,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":355,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":355,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":439.45,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":439.45,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":368.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":394.77,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":417.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":481.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":382,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":450.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":333.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.62,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.62,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.62,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.62,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":127.03,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":127.03,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":127.03,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":127.03,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":127.03,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":127.03,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":127.03,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":127.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":127.03,"methodology":"fee schedule"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17282","type":"CPT"}],"standard_charges":[{"minimum":90.57,"maximum":90.57,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.57,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.57,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.57,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.57,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.57,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17283","type":"CPT"}],"standard_charges":[{"minimum":117.48,"maximum":117.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.48,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.48,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.48,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.48,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17284","type":"CPT"}],"standard_charges":[{"minimum":153.38,"maximum":153.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":153.38,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":153.38,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":153.38,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":153.38,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":153.38,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17286","type":"CPT"}],"standard_charges":[{"minimum":199.08,"maximum":199.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.08,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.08,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.08,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.08,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.08,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"MOHS 1 STAGE H/N/HF/G","code_information":[{"code":"17311","type":"CPT"}],"standard_charges":[{"minimum":577.07,"maximum":577.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":577.07,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":577.07,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":577.07,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":577.07,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":577.07,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"MOHS ADDL STAGE","code_information":[{"code":"17312","type":"CPT"}],"standard_charges":[{"minimum":348.47,"maximum":348.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":348.47,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":348.47,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":348.47,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":348.47,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":348.47,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"MOHS 1 STAGE T/A/L","code_information":[{"code":"17313","type":"CPT"}],"standard_charges":[{"minimum":527.18,"maximum":527.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":527.18,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":527.18,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":527.18,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":527.18,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":527.18,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"MOHS ADDL STAGE T/A/L","code_information":[{"code":"17314","type":"CPT"}],"standard_charges":[{"minimum":322.78,"maximum":322.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":322.78,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":322.78,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":322.78,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":322.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":322.78,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"MOHS SURG ADDL BLOCK","code_information":[{"code":"17315","type":"CPT"}],"standard_charges":[{"minimum":68.13,"maximum":68.13,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.13,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.13,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.13,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.13,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"RHC CRYOTHERAPY ACNE","code_information":[{"code":"17340","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":65.5,"maximum":118.58,"gross_charge":121,"discounted_cash":80.59,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.86,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":98.86,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":98.86,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.98,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":65.5,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":77.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":77.44,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":77.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":90.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":90.39,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":102.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":118.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":80.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":94.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":70.38,"methodology":"fee schedule"}]}]},{"description":"RHC CRYOTHERAPY ACNE","code_information":[{"code":"17340","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":31.31,"maximum":118.58,"gross_charge":121,"discounted_cash":80.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.86,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":98.86,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":98.86,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.22,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":74.27,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":87.49,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":87.49,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":87.49,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":90.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":97.29,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":102.85,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":118.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":94.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":111.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":82.16,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.72,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.72,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.72,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.72,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":31.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":31.31,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":31.31,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":31.31,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":31.31,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":31.31,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":31.31,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":31.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":31.31,"methodology":"fee schedule"}]}]},{"description":"SKIN PEEL THERAPY","code_information":[{"code":"17360","type":"CPT"}],"standard_charges":[{"minimum":58.53,"maximum":58.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.53,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.53,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.53,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.53,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.53,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"PERCUTANEOUS CARDIAC INTERVENTION WITH AMI","code_information":[{"code":"1741","type":"APR-DRG"}],"standard_charges":[{"minimum":43795,"maximum":43795,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":43795,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":43795,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":43795,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":43795,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":43795,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS CARDIAC INTERVENTION WITH AMI","code_information":[{"code":"1742","type":"APR-DRG"}],"standard_charges":[{"minimum":47274,"maximum":47274,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":47274,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":47274,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":47274,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":47274,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":47274,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS CARDIAC INTERVENTION WITH AMI","code_information":[{"code":"1743","type":"APR-DRG"}],"standard_charges":[{"minimum":58857,"maximum":58857,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":58857,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":58857,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":58857,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":58857,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":58857,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS CARDIAC INTERVENTION WITH AMI","code_information":[{"code":"1744","type":"APR-DRG"}],"standard_charges":[{"minimum":84493,"maximum":84493,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":84493,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":84493,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":84493,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":84493,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":84493,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI","code_information":[{"code":"1751","type":"APR-DRG"}],"standard_charges":[{"minimum":44789,"maximum":44789,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":44789,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":44789,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":44789,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":44789,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":44789,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI","code_information":[{"code":"1752","type":"APR-DRG"}],"standard_charges":[{"minimum":50325,"maximum":50325,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":50325,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":50325,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":50325,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":50325,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":50325,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI","code_information":[{"code":"1753","type":"APR-DRG"}],"standard_charges":[{"minimum":62741,"maximum":62741,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":62741,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":62741,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":62741,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":62741,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":62741,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI","code_information":[{"code":"1754","type":"APR-DRG"}],"standard_charges":[{"minimum":94026,"maximum":94026,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":94026,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":94026,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":94026,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":94026,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":94026,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"INSERTION REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES","code_information":[{"code":"1761","type":"APR-DRG"}],"standard_charges":[{"minimum":36612,"maximum":36612,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":36612,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":36612,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":36612,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":36612,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":36612,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"INSERTION REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES","code_information":[{"code":"1762","type":"APR-DRG"}],"standard_charges":[{"minimum":43841,"maximum":43841,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":43841,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":43841,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":43841,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":43841,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":43841,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"INSERTION REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES","code_information":[{"code":"1763","type":"APR-DRG"}],"standard_charges":[{"minimum":65114,"maximum":65114,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":65114,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":65114,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":65114,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":65114,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":65114,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"INSERTION REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES","code_information":[{"code":"1764","type":"APR-DRG"}],"standard_charges":[{"minimum":109228,"maximum":109228,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":109228,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":109228,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":109228,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":109228,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":109228,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT","code_information":[{"code":"1771","type":"APR-DRG"}],"standard_charges":[{"minimum":26198,"maximum":26198,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":26198,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":26198,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":26198,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":26198,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":26198,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT","code_information":[{"code":"1772","type":"APR-DRG"}],"standard_charges":[{"minimum":37604,"maximum":37604,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":37604,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":37604,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":37604,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":37604,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":37604,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT","code_information":[{"code":"1773","type":"APR-DRG"}],"standard_charges":[{"minimum":51794,"maximum":51794,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":51794,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":51794,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":51794,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":51794,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":51794,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT","code_information":[{"code":"1774","type":"APR-DRG"}],"standard_charges":[{"minimum":72157,"maximum":72157,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":72157,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":72157,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":72157,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":72157,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":72157,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EXTERNAL HEART ASSIST SYSTEMS","code_information":[{"code":"1781","type":"APR-DRG"}],"standard_charges":[{"minimum":106929,"maximum":106929,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":106929,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":106929,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":106929,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":106929,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":106929,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EXTERNAL HEART ASSIST SYSTEMS","code_information":[{"code":"1782","type":"APR-DRG"}],"standard_charges":[{"minimum":116964,"maximum":116964,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":116964,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":116964,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":116964,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":116964,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":116964,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EXTERNAL HEART ASSIST SYSTEMS","code_information":[{"code":"1783","type":"APR-DRG"}],"standard_charges":[{"minimum":131781,"maximum":131781,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":131781,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":131781,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":131781,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":131781,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":131781,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"EXTERNAL HEART ASSIST SYSTEMS","code_information":[{"code":"1784","type":"APR-DRG"}],"standard_charges":[{"minimum":171979,"maximum":171979,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":171979,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":171979,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":171979,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":171979,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":171979,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"DEFIBRILLATOR IMPLANTS","code_information":[{"code":"1791","type":"APR-DRG"}],"standard_charges":[{"minimum":74894,"maximum":74894,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":74894,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":74894,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":74894,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":74894,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":74894,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"DEFIBRILLATOR IMPLANTS","code_information":[{"code":"1792","type":"APR-DRG"}],"standard_charges":[{"minimum":84644,"maximum":84644,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":84644,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":84644,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":84644,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":84644,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":84644,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"DEFIBRILLATOR IMPLANTS","code_information":[{"code":"1793","type":"APR-DRG"}],"standard_charges":[{"minimum":102833,"maximum":102833,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":102833,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":102833,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":102833,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":102833,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":102833,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"DEFIBRILLATOR IMPLANTS","code_information":[{"code":"1794","type":"APR-DRG"}],"standard_charges":[{"minimum":147334,"maximum":147334,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":147334,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":147334,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":147334,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":147334,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":147334,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER CIRCULATORY SYSTEM PROCEDURES","code_information":[{"code":"1801","type":"APR-DRG"}],"standard_charges":[{"minimum":26243,"maximum":26243,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":26243,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":26243,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":26243,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":26243,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":26243,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER CIRCULATORY SYSTEM PROCEDURES","code_information":[{"code":"1802","type":"APR-DRG"}],"standard_charges":[{"minimum":32236,"maximum":32236,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":32236,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":32236,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":32236,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":32236,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":32236,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER CIRCULATORY SYSTEM PROCEDURES","code_information":[{"code":"1803","type":"APR-DRG"}],"standard_charges":[{"minimum":44845,"maximum":44845,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":44845,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":44845,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":44845,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":44845,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":44845,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER CIRCULATORY SYSTEM PROCEDURES","code_information":[{"code":"1804","type":"APR-DRG"}],"standard_charges":[{"minimum":78251,"maximum":78251,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":78251,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":78251,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":78251,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":78251,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":78251,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"LOWER EXTREMITY ARTERIAL PROCEDURES","code_information":[{"code":"1811","type":"APR-DRG"}],"standard_charges":[{"minimum":34285,"maximum":34285,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":34285,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":34285,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":34285,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":34285,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":34285,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"LOWER EXTREMITY ARTERIAL PROCEDURES","code_information":[{"code":"1812","type":"APR-DRG"}],"standard_charges":[{"minimum":47287,"maximum":47287,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":47287,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":47287,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":47287,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":47287,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":47287,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"LOWER EXTREMITY ARTERIAL PROCEDURES","code_information":[{"code":"1813","type":"APR-DRG"}],"standard_charges":[{"minimum":71670,"maximum":71670,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":71670,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":71670,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":71670,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":71670,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":71670,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"LOWER EXTREMITY ARTERIAL PROCEDURES","code_information":[{"code":"1814","type":"APR-DRG"}],"standard_charges":[{"minimum":110378,"maximum":110378,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":110378,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":110378,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":110378,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":110378,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":110378,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER PERIPHERAL VASCULAR PROCEDURES","code_information":[{"code":"1821","type":"APR-DRG"}],"standard_charges":[{"minimum":40517,"maximum":40517,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":40517,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":40517,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":40517,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":40517,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":40517,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER PERIPHERAL VASCULAR PROCEDURES","code_information":[{"code":"1822","type":"APR-DRG"}],"standard_charges":[{"minimum":44718,"maximum":44718,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":44718,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":44718,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":44718,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":44718,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":44718,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER PERIPHERAL VASCULAR PROCEDURES","code_information":[{"code":"1823","type":"APR-DRG"}],"standard_charges":[{"minimum":53744,"maximum":53744,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":53744,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":53744,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":53744,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":53744,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":53744,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"OTHER PERIPHERAL VASCULAR PROCEDURES","code_information":[{"code":"1824","type":"APR-DRG"}],"standard_charges":[{"minimum":94416,"maximum":94416,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":94416,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":94416,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":94416,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":94416,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":94416,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES","code_information":[{"code":"1831","type":"APR-DRG"}],"standard_charges":[{"minimum":86614,"maximum":86614,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":86614,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":86614,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":86614,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":86614,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":86614,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES","code_information":[{"code":"1832","type":"APR-DRG"}],"standard_charges":[{"minimum":88498,"maximum":88498,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":88498,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":88498,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":88498,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":88498,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":88498,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES","code_information":[{"code":"1833","type":"APR-DRG"}],"standard_charges":[{"minimum":102698,"maximum":102698,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":102698,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":102698,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":102698,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":102698,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":102698,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES","code_information":[{"code":"1834","type":"APR-DRG"}],"standard_charges":[{"minimum":153752,"maximum":153752,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":153752,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":153752,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":153752,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":153752,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":153752,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BREAST CYST PUNC ASPIRATE","code_information":[{"code":"19000","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":830.36,"maximum":1503.32,"gross_charge":1534,"discounted_cash":1021.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1253.28,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1253.28,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1253.28,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1064.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":830.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":981.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":981.76,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":981.76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1372.93,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":1372.93,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1150.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1145.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1303.9,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":1503.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1023.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":1202.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":892.18,"methodology":"fee schedule"}]}]},{"description":"BREAST CYST PUNC ASPIRATE","code_information":[{"code":"19000","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":40.16,"maximum":657.58,"gross_charge":671,"discounted_cash":446.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":548.21,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":548.21,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":548.21,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":528.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":411.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":485.14,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":485.14,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":485.14,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":600.55,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":600.55,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":503.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":539.49,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":570.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":657.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":522.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":615.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":455.61,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":173.59,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":173.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":173.59,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":173.59,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":173.59,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":173.59,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":173.59,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":173.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":173.59,"methodology":"fee schedule"}]}]},{"description":"BREAST CYST PUNC ASPIRATE","code_information":[{"code":"19000","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":229.52,"maximum":415.52,"gross_charge":424,"discounted_cash":282.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":229.52,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":271.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":316.73,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":415.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":282.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":332.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":246.6,"methodology":"fee schedule"}]}]},{"description":"BREAST CYST PUNC ASPIRATE","code_information":[{"code":"19000","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":40.16,"maximum":415.52,"gross_charge":424,"discounted_cash":282.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":346.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":333.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":260.26,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":306.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":379.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":340.9,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":415.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":329.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":389.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":287.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":109.69,"methodology":"fee schedule"}]}]},{"description":"PF BREAST CYST PUNC ASP","code_information":[{"code":"19000","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":67.13,"maximum":121.52,"gross_charge":124,"discounted_cash":82.59,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":101.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":101.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":67.13,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":79.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":79.36,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":79.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.98,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":110.98,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":93,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":92.63,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":105.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":121.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":82.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":97.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":72.12,"methodology":"fee schedule"}]}]},{"description":"PF BREAST CYST PUNC ASP","code_information":[{"code":"19000","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":32.08,"maximum":121.52,"gross_charge":124,"discounted_cash":82.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":101.31,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":101.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":76.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":89.66,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":89.66,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":89.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.98,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":110.98,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":93,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":99.7,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":105.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":121.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":96.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":113.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":84.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":32.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":32.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":32.08,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":32.08,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":32.08,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":32.08,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":32.08,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":32.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":32.08,"methodology":"fee schedule"}]}]},{"description":"RHC PUNC ASP BREAST CYST","code_information":[{"code":"19000","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":219.23,"maximum":396.9,"gross_charge":405,"discounted_cash":269.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.07,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":219.23,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":303.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":302.54,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":344.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":396.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":270.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":317.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":235.55,"methodology":"fee schedule"}]}]},{"description":"RHC PUNC ASP BREAST CYST","code_information":[{"code":"19000","type":"CPT"},{"code":"0521","type":"RC"}],"standard_charges":[{"minimum":40.16,"maximum":396.9,"gross_charge":405,"discounted_cash":269.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":330.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":318.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":248.59,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":292.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":292.82,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":292.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":303.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":325.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":344.25,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":396.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":315.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":371.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":275,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.16,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":104.78,"methodology":"fee schedule"}]}]},{"description":"BREAST CYST ASP EA ADDL","code_information":[{"code":"19001","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":409.23,"maximum":740.88,"gross_charge":756,"discounted_cash":503.5,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":617.66,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":617.66,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":617.66,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":524.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":409.23,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":483.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":483.84,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":483.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":676.62,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":676.62,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":567,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":564.74,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":642.6,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":740.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":504.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":592.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":439.69,"methodology":"fee schedule"}]}]},{"description":"BREAST CYST ASP EA ADDL","code_information":[{"code":"19001","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":23.93,"maximum":324.38,"gross_charge":331,"discounted_cash":220.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":270.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":270.43,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":270.43,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":260.47,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":203.17,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":239.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":239.32,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":239.32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":296.25,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":296.25,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":248.25,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":266.13,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":281.35,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":324.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":257.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":303.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":224.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.93,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.93,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.93,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.93,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.93,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":85.63,"methodology":"fee schedule"}]}]},{"description":"ACUTE MYOCARDIAL INFARCTION","code_information":[{"code":"1901","type":"APR-DRG"}],"standard_charges":[{"minimum":17304,"maximum":17304,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":17304,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":17304,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":17304,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":17304,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":17304,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"ACUTE MYOCARDIAL INFARCTION","code_information":[{"code":"1902","type":"APR-DRG"}],"standard_charges":[{"minimum":18717,"maximum":18717,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":18717,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":18717,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":18717,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":18717,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":18717,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"PF ID BRST ABSCES DEEP LT","code_information":[{"code":"19020","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":450.37,"maximum":815.36,"gross_charge":832,"discounted_cash":554.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":679.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":679.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":679.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":577.41,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":450.37,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":532.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":532.48,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":532.48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":744.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":744.64,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":624,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":621.51,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":707.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":815.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":555.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":652.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":483.9,"methodology":"fee schedule"}]}]},{"description":"PF ID BRST ABSCES DEEP LT","code_information":[{"code":"19020","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":199.94,"maximum":815.36,"gross_charge":832,"discounted_cash":554.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":679.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":679.75,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":679.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":654.71,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":510.69,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":601.54,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":601.54,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":601.54,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":744.64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":744.64,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":624,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":668.93,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":707.2,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":815.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":647.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":763.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":564.93,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.94,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.94,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.94,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.94,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.94,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":215.24,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":215.24,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":215.24,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":215.24,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":215.24,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":215.24,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":215.24,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":215.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":215.24,"methodology":"fee schedule"}]}]},{"description":"ACUTE MYOCARDIAL INFARCTION","code_information":[{"code":"1903","type":"APR-DRG"}],"standard_charges":[{"minimum":24370,"maximum":24370,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":24370,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":24370,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":24370,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":24370,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":24370,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"INJECTION FOR BREAST X-RAY","code_information":[{"code":"19030","type":"CPT"}],"standard_charges":[{"minimum":222.16,"maximum":222.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":222.16,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":222.16,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":222.16,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":222.16,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":222.16,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"ACUTE MYOCARDIAL INFARCTION","code_information":[{"code":"1904","type":"APR-DRG"}],"standard_charges":[{"minimum":38228,"maximum":38228,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":69.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":54.13,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":64,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":74.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":66.74,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":78.41,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":58.16,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":38228,"methodology":"case rate"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":38228,"methodology":"case rate"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":38228,"methodology":"case rate"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":38228,"methodology":"case rate"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":38228,"methodology":"case rate"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":7541,"methodology":"per diem"}]}]},{"description":"BX BREAST 1ST LESION STRTCTC","code_information":[{"code":"19081","type":"CPT"}],"standard_charges":[{"minimum":632.17,"maximum":632.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":632.17,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":632.17,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":632.17,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":632.17,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":632.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"BX BREAST ADD LESION STRTCTC","code_information":[{"code":"19082","type":"CPT"}],"standard_charges":[{"minimum":526.8,"maximum":526.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_percentage":81.7,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_percentage":78.69,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_percentage":61.38,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_percentage":72.3,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_percentage":89.5,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_percentage":75,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_percentage":80.4,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_percentage":85,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_percentage":98,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_percentage":77.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_percentage":91.8,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_percentage":67.9,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":526.8,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":526.8,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":526.8,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":526.8,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":526.8,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_percentage":25.87,"count":"0","methodology":"percent of total billed charges", "additional_payer_notes": "No services performed during 12-month lookback period."}]}]},{"description":"BX BREAST US PERC 1ST UNI","code_information":[{"code":"19083","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":2304.86,"maximum":4172.84,"gross_charge":4258,"discounted_cash":2835.83,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3478.79,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":3478.79,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":3478.79,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2955.06,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":2304.86,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":2725.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":2725.12,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":2725.12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3810.91,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":3810.91,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3193.5,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":3180.73,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":3619.3,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":4172.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":2841.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":3338.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":2476.46,"methodology":"fee schedule"}]}]},{"description":"BX BREAST US PERC 1ST UNI","code_information":[{"code":"19083","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":585.7,"maximum":2218.72,"gross_charge":2264,"discounted_cash":1507.83,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1849.69,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":1849.69,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":1849.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1781.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":1389.65,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":1636.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":1636.88,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":1636.88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2026.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":2026.28,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1698,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":1820.26,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":1924.4,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":2218.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":1761.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":2078.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":1537.26,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicaid|All Plans","standard_charge_dollar":613.92,"methodology":"fee schedule"},{"payer_name":"California Health & Wellness","plan_name":"Medicaid|All Plans","standard_charge_dollar":613.92,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicaid|All Plans","standard_charge_dollar":613.92,"methodology":"fee schedule"},{"payer_name":"Health Plan of San Joaquin","plan_name":"Medicaid|All Plans","standard_charge_dollar":613.92,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicaid|All Plans","standard_charge_dollar":613.92,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Medicare|All Plans","standard_charge_dollar":585.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Medicare|All Plans","standard_charge_dollar":585.7,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Medicare|All Plans","standard_charge_dollar":585.7,"methodology":"fee schedule"},{"payer_name":"Care 1st","plan_name":"Medicare|All Plans","standard_charge_dollar":585.7,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Medicare|All Plans","standard_charge_dollar":585.7,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Medicare|All Plans","standard_charge_dollar":585.7,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Medicare|All Plans","standard_charge_dollar":585.7,"methodology":"fee schedule"},{"payer_name":"Scan Health Plan","plan_name":"Medicare|All Plans","standard_charge_dollar":585.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Medicare|All Plans","standard_charge_dollar":585.7,"methodology":"fee schedule"}]}]},{"description":"PF BX BREAST US PERC 1ST","code_information":[{"code":"19083","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":204.08,"maximum":369.46,"gross_charge":377,"discounted_cash":251.09,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":308.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":308.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":261.64,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":204.08,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":241.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":241.28,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":241.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":337.42,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":337.42,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":282.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":281.62,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":320.45,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":369.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":251.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|HMO","standard_charge_dollar":295.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Select","standard_charge_dollar":219.27,"methodology":"fee schedule"}]}]},{"description":"PF BX BREAST US PERC 1ST","code_information":[{"code":"19083","type":"CPT"},{"code":"0983","type":"RC"}],"standard_charges":[{"minimum":97.53,"maximum":377,"gross_charge":377,"discounted_cash":251.09,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|HMO","standard_charge_dollar":308.01,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"Commercial|PPO","standard_charge_dollar":308.01,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|All Other Plans","standard_charge_dollar":296.67,"methodology":"fee schedule"},{"payer_name":"BCBS - Anthem","plan_name":"Commercial|Exchange","standard_charge_dollar":231.41,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|Exchange","standard_charge_dollar":272.58,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|HMO","standard_charge_dollar":272.58,"methodology":"fee schedule"},{"payer_name":"Blue Shield CA","plan_name":"Commercial|PPO","standard_charge_dollar":272.58,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Other Plans","standard_charge_dollar":337.42,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|PPO","standard_charge_dollar":337.42,"methodology":"fee schedule"},{"payer_name":"First Health","plan_name":"Commercial|All Plans","standard_charge_dollar":282.75,"methodology":"fee schedule"},{"payer_name":"Health Net","plan_name":"Commercial|All Plans","standard_charge_dollar":303.11,"methodology":"fee schedule"},{"payer_name":"Kaiser","plan_name":"Commercial|All Plans","standard_charge_dollar":320.45,"methodology":"fee schedule"},{"payer_name":"Multiplan","plan_name":"Commercial|All Plans","standard_charge_dollar":369.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Choice","standard_charge_dollar":293.31,"methodology":"fee